Eating Disorders & OCD: Is There a Relationship?

Is There A Relationship between OCD & Eating Disorders?

By: Cassie Sieradzky

Eating disorders and OCD are highly comorbid. Statistics estimate that about two-thirds of those diagnosed with an eating disorder have also been diagnosed with another type of anxiety disorder, specifically, 41% of individuals with an eating disorder also meet criteria for obsessive-compulsive disorder.

OCD is characterized by recurrent and persistent thoughts, urges, or images that are intrusive and unwanted. Individuals with OCD attempt to ignore or suppress their thoughts, urges, or images by performing some behavior (compulsion).

Obsessive-compulsive behaviors are also frequently seen in eating disorders, such as anorexia, bulimia, and binge eating disorder. Some of the behaviors characterized by eating disorders can be considered compulsive and ritualistic, especially those performed in an attempt to remove the anxiety or discomfort associated with eating. Obsessions that could lead to compulsive behaviors include thoughts related to weight, eating, food, or body image.

Examples of compulsive behaviors commonly associated with eating disorders include excessive exercise, constant body checking, counting calories, frequent weighing, use of laxatives to reduce weight, and following particular “rules” or “rituals” when eating a meal.

Psychotherapy, medication, or both are typically successful in treating these disorders.

If you or a loved one appears to be suffering from OCD or an eating 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/

Ekern, J., & Karges, C. (2014, March 31). OCD and Eating Disorders Often Occur Together. Retrieved April 16, 2018, from https://www.eatingdisorderhope.com/treatment-for-eating-disorders/co-occurring-dual-diagnosis/ocd-obsessive-compulsive-disorder/ocd-and-eating-disorders-often-occur-together

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Obsessive-Compulsive Disorder

OCD: SIGNS & SYMPTOMS

By: Cassie Sieradzky

Obsessive-Compulsive Disorder (OCD) is a disorder where the individual has uncontrollable, reoccurring thoughts (obsessions) and behaviors (compulsions) that they feel unable to control. Obsessive-compulsive disorder can affect adults, adolescents, and children. Most people are diagnosed around age 19, typically with an earlier age of onset in boys than in girls. Risk factors for developing OCD include close relatives with this disorder as well as exposure to abuse/trauma in childhood. People diagnosed with OCD may have symptoms of obsessions, compulsions, or both. This can be disruptive to all facets of life, such as work, school, and personal relationships.

Obsessions are repeated thoughts, urges, or mental images that cause anxiety. Examples of obsessions include fear of germs or contamination, unwanted taboo thoughts involving sex/ religion/ harm, aggressive thoughts towards others or self, and a need to have things in a perfect order.

Compulsions are repetitive behaviors that a person with OCD feels the urge to do in response to an obsessive thought, typically to ease the anxiety. Compulsions include excessive cleaning and/or handwashing, arranging things in a very particular way, repeatedly checking on things (checking to see if the door is locked or that the oven is off), and compulsive counting.

OCD is typically treated with medication, psychotherapy or a combination of the two.

If you or a loved one appears to be suffering from obsessive-compulsive disorder, 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/

Obsessive-Compulsive Disorder. (n.d.). Retrieved April 16, 2018, from https://www.nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocd/index.shtml

Narcissistic Personality Disorder

narcissism-and-health

You’ve heard about bipolar personality obsessive-compulsive disorder, paranoia disorder, and probably a handful of other ones. One of the less uncommon and less discussed one is narcissistic personality disorder. This is a mental condition in which a person has an inflated sense of their own importance, a deep need for excessive attention and admiration, troubled relationships, and a lack of empathy for others.

What lies behind the disorder? Behind the mask of extreme confidence, arrogance and/or pompousness there is a fragile selfesteem that’s vulnerable to the slightest criticism, insult, or contempt. They may find their relationships unfulfilling, and others may not enjoy being around them when they feel the persons need for superiority which can lead to actions and words of disrespect.

Why does this disorder get diagnosed? Most believe that the causes are due to genetics as well as social factors, and the person’s early development such as family, personal temperament, school system, and learned coping skills to deal with stress.

What are some more possible symptoms? It’s their way or the highway, they won’t ever be wrong in situations, and if they admit to be wrong, they will put another down just in order to convince themselves that they are in the right, they can have ease lying; they can charm, falsely accuse, mooch, betray, mirror, compete, destroy, and manipulate easily. They are known also to commonly abuse drugs, alcohol or nicotine.

What problems does this disorder cause? It causes unstable and trouble in relationships, work, school or financial affairs. People with narcissistic personality disorder may be generally unhappy, and may take this out on another human and gain the personality trait that is sadistic.

How can we help the issue? After acceptance, treatment of this personality disorder typically involves long-term therapy, possible medication, and continuing to relate better with others in relationships, working towards empathy, understanding the cause of ones emotions and what drives one to compete and distrust, practicing tolerance, and trying to release ones desire for unattainable goals and ideal conditions.

By Isabelle Kreydin

If you or a person you know is struggling with a narcissistic personality disorder, or any personality disorder, 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.

To find out more information, visit: https://www.mayoclinic.org/diseases-conditions/narcissistic-personality-disorder/symptoms-causes/syc-20366662

Trichotillomania

By: Cassie Sieradzky

Trichotillomania is an impulse control disorder characterized by the urge to pull out one’s hair. An individual with trichotillomania can pull hair from any part of their body, however the eyebrows and scalp are the most common places. If not treated, this disorder can come and go throughout an individual’s lifetime and persist for weeks, months, or years.

Trichotillomania is more common in females and is seen in 1%-2% of the population. The onset of this disorder is most commonly seen in preadolescents or young adults. The cause of this disorder in unknown, however it can be triggered by anxiety or stressful life events such as family conflict. Anxiety disorders, depression, and OCD are commonly associated with trichotillomania. Behavioral therapy and medication are often successful in treating this disorder.

Common Symptoms:

•Recurrent pulling out hair resulting in noticeable hair loss
•An increasing sense of tension before pulling out the hair or when resisting the behavior
•Pleasure, gratification, or relief when pulling out the hair
•The disturbance is not accounted for by another mental disorder and is not due to a general medical condition (dermatological condition)
•Repeated attempts have been made to decrease or stop hair pulling
•The behaviors cause significant distress or impairment in social, occupational, or other important areas of functioning (loss of control, embarrassment, or shame)
•Hair pulling may be accompanied by a range of behaviors or rituals involving hair (rolling hair between the fingers, pulling strands between one’s teeth, biting hair into pieces, or swallowing hair)

If you or a loved one appears to be suffering from Trichotillomania, 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/

Trichotillomania (Hair Pulling). (2017, March 29). Retrieved February 13, 2018, from http://www.mentalhealthamerica.net/conditions/trichotillomania-hair-pulling

Skin-Picking/Excoriation Disorder: An Obsessive Compulsive Disorder

OCD: Skin-Picking/Excoriation

Written by: Jinal Kapadia

Obsessive Compulsive Disorder (OCD) is a common, long-lasting disorder in which a person has uncontrollable, reoccurring thoughts (obsessions) and behaviors (compulsions) that he or she feels the urge to repeat over and over. There are many different types of OCD disorders, but one disorder in particular deals with skin picking; it is called Excoriation.

Excoriation disorder affects around 1.4% of the general population, and its symptoms appear most commonly during adolescence, around the onset of puberty. This disorder, sometimes referred to as chronic skin-picking or dermatillomania, is characterized by repeated picking at one’s own skin resulting in skin lesions and sometimes significant disruption in one’s life.

In order to be diagnosed with Excoriation disorder, a person must exhibit the behavior of picking one’s skin that results in skin lesions and repeated attempt to stop this behavior. These symptoms must cause clinically significant distress or impairment, can not be caused by a medical or dermatological condition or substance, and can not be better explained by another psychiatric disorder.

The treatment for Excoriation disorder is similar to the treatment for general Obsessive Compulsive Disorder in the sense that both suggest the use of medication, specifically selective serotonin reuptake inhibitors (SSRIs), and cognitive-behavioral therapy (CBT) to reduce the obsessive thoughts and compulsive behaviors of the person suffering from the disorder.

If you or someone you know has Excoriation disorder or seems to have the symptoms of Excoriation disorder, and needs help, 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:

Mentalhealthamerica.com. (2018). Excoriation Disorder (Skin Picking or Dermatillomania). [online] Available at: http://www.mentalhealthamerica.net/conditions/excoriation-disorder-skin-picking-or-dermatillomania [Accessed 10 Jan. 2018].

Mghocd.org. (2015). Excoriation. [online] Available at: https://mghocd.org/clinical-services/excoriation/ [Accessed 10 Jan. 2018].

Nimh.nih.gov. (2016). NIMH » Obsessive-Compulsive Disorder. [online] Available at: https://www.nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocd/index.shtml [Accessed 10 Jan. 2018].

Anxiety: Exposure Therapy Helping Teens Combat Anxiety

By Hannah Pierce

Exposure therapy is a cognitive-behavioral therapy technique in which a person is exposed to a feared object or situation to overcome their anxiety. A majority of researchers and clinicians believe that exposure therapy is the most effective treatment for many anxiety disorders. One study even found that people improved more using this technique than taking antidepressants.

Although exposure therapy is proven to be very effective, it is not frequently used with teens. Many teens suffering with anxiety are prescribed medication rather than receiving therapy. It is difficult for people to consent to exposure therapy because they do not want to do something that will make them feel even more anxious.

One article documented teens’ experiences with exposure therapy. A 14-year-old suffering from social anxiety, depression, OCD, and binge-eating agreed to tackle his social anxiety through exposure therapy. On a busy college campus he sat on a bench next to a stranger and initiated a conversation. To some people this may seem simple but to a teen suffering from social anxiety, the task is very daunting. He sat on the bench and tried to talk to the stranger but the stranger just kept texting and playing with his phone. Although the exchange did not turn into a conversation, at least the teen faced his fear and realized it wasn’t that bad.

Another teen’s exposure involved him holding a sign that read “I’ve been bullied. Ask me.” Thomas hoped to combat his anxiety while also educating people on bullying. Most students on the campus walked by him without giving him a second glance. After a while, a couple stopped to talk to Thomas. The man empathized with him, sharing that he had been bullied as well and the woman applauded Thomas for his bravery.  After the exchange Thomas was very pleasantly surprised and realized he did not have much to be so anxious about.

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

Source: “The Kids Who Can’t” by Benoit Denizet-Lewis

OCD: What It’s Really About

By Miranda Botti

Obsessive-Compulsive Disorder, or more commonly referred to as OCD, is a psychological disorder in which those afflicted experience recurring distressing, intrusive thoughts, images or impulses (obsessions) and attempt to remedy and alleviate such thoughts with repetitive actions (compulsions).  Such intrusive, repetitive thoughts are often constant worries about one’s health or the health of family members or loved ones, as well as fears about bad things happening to loved ones. Common compulsions include but are not limited to: repeatedly checking things, such as if an oven is off or if a door is locked, excessively cleaning oneself and/or handwashing, and compulsive counting. Many OCD patients are able to understand that their thoughts are irrational and unlikely to be remedied by their compulsive actions but continue to struggle to control their obsessions. Most people are typically diagnosed with OCD in their late teens to early 20’s, although onset at any age is possible.

The knowledge of the causes of Obsessive-Compulsive Disorder is still yet to be discovered however, risk factors include: genetics, brain structure and functioning, and/or the environment. Treatments include medications that act to inhibit the reuptake of the neurotransmitter called serotonin (SRI’s and SSRI’s), as well as the less frequently prescribed antipsychotic medication; psychotherapy such as cognitive behavioral therapy (CBT); the approach of a combination of medication and psychotherapy. Research for treatment of OCD is up and running and clinical trials look to determine the effectiveness and safety of new treatments in order to help individuals in the future.

 

If you or someone you know is suffering from OCD, 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/.

 

Information taken from: https://www.nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocd/index.shtml

What exactly is a “Panic Attack”?

by Sarah Moore

Panic Attacks: What are they?

We’ve all heard of panic attacks before, on television, in the movies and even in day-to-day conversation. In today’s age, people tend to use the term lightly, as an expression of a reaction to a stressful event or fearful encounter. One might say, “When I heard that the company was planning to downsize next year, I just about had a panic attack”. But to use the term this way does not describe what a panic attack truly is: a sudden, unexpected feeling of overwhelming and disabling anxiety, often with no premeditating cause.

So what exactly does a panic attack involve? The DSM-5 defines a panic attack as involving four (4) or more of the following symptoms:

  • Palpitations, pounding heart, or accelerated heart rate
  • Sweating
  • Trembling or shaking
  • Sensations of shortness of breath or smothering
  • A feeling of choking
  • Chest pain or discomfort
  • Nausea or abdominal distress
  • Feeling dizzy, unsteady, lightheaded, or faint
  • Feelings of unreality (derealization) or being detached from oneself (depersonalization)
  • Fear of losing control or going crazy
  • Fear of dying
  • Numbness or tingling sensations
  • Chills or hot flushes

While it’s true that anyone can experience a panic attack, they are most commonly associated with Generalized Anxiety Disorder, Post-Traumatic Stress Disorder or Specific Phobias. Does this mean someone who experiences a panic attack has one of these conditions? Not necessarily. The DSM-V defines the diagnostic criteria for Panic disorder as suffering from frequent, often unexpected panic attacks. In addition, at least one attack must be followed by the fear that more attacks will occur, causing an individual to change his or her behavior in order to avoid triggering such attacks. It is important to note that other possible causes for panic attacks, such as side effects from drugs or medications must be ruled out before someone can be diagnosed with any of the above disorders. Panic attacks can be debilitating, but with the right treatment, recovery is possible.

If you believe that you or a loved one has or may be suffering from panic attacks, the psychiatrists, psychologists, psychiatric nurse practitioners or psychotherapists at Arista Counseling can help you. Please contact our Bergen County, NJ or Manhattan, NY offices respectively at (201)-368-3700 or (212)-722-1920 to set up an appointment, or visit http://www.counselingpsychotherapynjny.com for more information.

Obsessive Compulsive Disorder: What is it?

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Obsessive Compulsive Disorder: What is it?

By: Daniela Chica

Obsessive compulsive disorder (OCD) is characterized by prolonged intervals of repetitious and undesired thoughts and compulsions. About 2.2 million Americans live with OCD and 1/3 of people who develop the disorder first experience symptoms as children. Obsessive compulsive disorder can be a lifelong condition if left untreated and it can limit people’s ability to function in everyday life. Because OCD is an anxiety disorder, deviating from usual compulsions and obsessions can cause great distress. Some common symptoms of OCD are:

  • Having repetitive thoughts or urges about a wide range of issues such as neatness, germs or violence
  • Engaging in repetitious behavior such as washing one’s hands, hoarding, or locking doors
  • Getting no satisfaction from engaging in one’s repetitious behavior, but still getting some form of relief from the anxiety caused by obsessive thoughts
  • Spending at least an hour daily on repetitious behaviors and thoughts that affect one’s normal functioning

Although there is still much to know about obsessive compulsive disorder, researchers believe that biological factors increase the risk of developing the disorder. One is also more likely to develop the disorder if a first degree relative is diagnosed with the disorder. Abuse in childhood and trauma of any sort are often linked to OCD.

If you or someone you know has obsessive compulsive disorder and needs help, please 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/.

Source:

https://www.psychologytoday.com/conditions/obsessive-compulsive-disorder

Snapchat Culture

By: Emily Mulhaul

Lights flashing, music blasting, society Snapchatting.

Unbeknownst to many, an external appearance doesn’t always match up with an internal experience. To further explain, just because on the outside someone seems they are having fun, does not always mean internally they are having fun. This knowledge can act as a relaxant to combat the initial jealousy of binge watching other’s Snapchat stories; However, if you find yourself “doing it for the Snapchat” (we all have) and are sensing incongruity with the way you appear on Snapchat and feel in reality, it may be time to look inside yourself. If “the struggle is becoming too real” and you’re at the point where you want to feel the way you appear on Snapchat, or experience the perceived feelings of other’s but have absolutely no idea where to start, talking it through with a licensed professional could guide you towards genuinely feeling these positive emotions.

The experienced psychiatrists, psychologists, psychiatric nurse practitioners, social workers, and psychotherapists at Arista Counseling 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.