Post Traumatic Stress Disorder (PTSD)

Eye Movement Desensitization and Reprocessing (EMDR): Therapy for PTSD

GalleryJudy Gurfein Leave a comment

By: Jessica Much

Post-traumatic stress disorder is a complex disorder affecting those who have experienced single or repeated trauma. The most commonly-known symptom of PTSD is flashbacks. Flashbacks occur when a person is reminded of the traumatic event by an environmental cue, known as a trigger, which leads to an episode of feeling as if they are experiencing the trauma all over again in real time. For instance, if someone who has been hit by a red car sees a red car while they are driving, it may remind them of the incident and cause them to have a vivid flashback of the event.

          For those who experience flashbacks, it may be hard to feel in control of their emotions, and they may feel helpless to stop them. However, there is a lesser-known therapy that can help ease the severity of flashbacks. Eye movement desensitization and reprocessing therapy (EMDR) was created by Francine Shapiro in the 1980s to address trauma through physical stimulation as well as talk therapy. EMDR believes that traumatic memories are stuck within an individual’s conscious (causing flashbacks), and must be reprocessed and unstuck by the patient to alleviate symptoms and their severity.

          During this therapy, patients are verbally guided through questions and feelings about their memories while bilateral brain activity in the patient is stimulated by the therapist through various methods (most commonly side-to-side eye movement). This encourages the reprocessing of memories from the emotional right brain hemisphere to the more logical left brain. Doing this can help reduce the emotional intensity of memories, as well as allow patients to change their beliefs about the memory (“My sexual assault is my fault” can be modified to “I am not to blame for what happened to me”). Additionally, reprocessing memories can help address symptoms of PTSD that are not directly attached to a memory, such as not sleeping well, being generally fearful, or lashing out at others.

          EMDR therapy shows significant results in the treatment of PTSD, especially when combined with other forms of therapy, such as cognitive behavioral therapy. Studies show that 84%-90% of single-trauma victims no longer met the criteria to be diagnosed with PTSD after three 90-minute sessions, and 77% of multiple trauma victims no longer meet the criteria after only six 50-minute sessions.

          EMDR is a quick, effective, and science-based treatment for PTSD. If you are suffering from recurring nightmares, flashbacks, have gone through single/repeated trauma, experience unidentified emotional outbursts, or want to reframe how you recall negative memories, this therapy might be right for you.

If you or someone you know may be struggling with loneliness, or their mental health, 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

“Eye Movement Desensitization and Reprocessing (EMDR).” Ttuhsc.edu, 11 June 2024, http://www.ttuhsc.edu/medicine/psychiatry/counseling/emdr.aspx.

‌American Psychological Association. “What Is EMDR Therapy and Why Is It Used to Treat PTSD?” Apa.org, 2023, http://www.apa.org/topics/psychotherapy/emdr-therapy-ptsd.

Stoneridgecenters. “3 Ways EMDR Therapy Benefits the Brain and Helps It Heal.” StoneRidge Treatment & Recovery, 3 Oct. 2022, stoneridgecenters.com/2022/10/02/how-emdr-therapy-benefits-the-brain/. Accessed 27 Jan. 2026.

Mindfulness: Living in the Present

GalleryJudy Gurfein Leave a comment

Mindfulness: Living in the Present

By: Maria Koutsothanasis

Oftentimes it is easy to feel disconnected or distracted by living in the present. With work, school, or other obligations, it is easy to lose sight of the present time. Dwelling on the past or worrying about the future causes increased feelings of stress and depression. Mindfulness can help refocus on the present events to create a calmer and more focused life.

What is mindfulness?

Mindfulness is the practice of being fully focused on the present moment. By observing your thoughts and emotions, and removing judgment, mindfulness allows you to stay present and create a deeper connection and understanding of yourself.

Mindfulness decreases stress and promotes overall emotional well-being and balance.

  1. Reduces stress and anxiety:

    Mindfulness calms the mind and body by shifting attention away from thoughts that increase stress. Mindfulness interventions such as meditation can lower cortisol levels (a stress hormone) and help people manage anxiety better.

    2. Boosts mental health:

      Mindfulness reduces symptoms of depression, anxiety, and PTSD. It promotes a greater sense of resilience and breaks a cycle of negativity. Through mindfulness, you can manage stress and have control over your mental well-being.

      3. Improves physical health:

      Mindfulness is not only good for the mind but also the body. Regular mindfulness practices have been linked to lower blood pressure, improved sleep, and an overall stronger immune system.

      How to Practice Mindfulness

      1. Mindful Breathing:

          Spending a few minutes a day focusing on your breath calms your mind and helps reduce mental clutter. If you begin to feel anxious, focusing on breathing can reduce these feelings.

          2. Engage in Gratitude:

          Reflecting on things in your life that you are grateful for is a way to shift the perspective of your life in a positive way.

          3. Being present:

          Training your mind to stay present on the tasks that you currently engage in is a way to increase focus, reduce stress, and improve overall satisfaction in life.

          Mindfulness does not require major life changes. It is about being fully present in the moments that make up your day. Incorporating these small changes in your life can lead to reduced stress, improved emotional resilience, and a deeper sense of fulfillment. The small shifts can transform how you experience the world around you and how you feel internally.

          If you or someone you know is struggling with anxiety, depression, PTSD, or other mental health 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 Counseling & Psychiatric Services. 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/

          U.S. Department of Health and Human Services. (2024, June 18). Mindfulness for your health. National Institutes of Health. https://newsinhealth.nih.gov/2021/06/mindfulness-your-health

          Matthews, K. (2023, June 29). Health benefits of mindfulness: 1stCallHEALTH: Primary care providers. 1stCallHEALTH. https://1stcallhealth.com/health-benefits-of-mindfulness/


          The Lessons of 9/11: Therapy and Resilience

          GalleryJudy Gurfein Leave a comment

          By: Tehila Strulowitz

          The other day I was sitting in my college Renaissance History course, learning about the joy, beauty, and creative innovation of an era that spanned three centuries following roughly 1,000 years of life so bleak and horrible that it gained an additional name: the “Dark Ages.” At one point during the lecture, my professor made an off-the-cuff remark about how since every generation spans more or less 20 years, and within that generation, everything that happens in the world is considered “current events,” the 23rd anniversary of the tragic day that is 9/11 is now considered “history.” We all sat there a little shocked and confused because how could over twenty years have passed and how could something discussed so frequently in the United States be considered history?

          On the morning of Tuesday, September 11, 2001, first responders flocked by the thousands to the only building complex in the 10048 zip code in Lower Manhattan upon hearing the devastation that was unfolding in New York City. Thousands of therapists (social workers, psychologists, other mental health professionals, and so on) rushed to Manhattan in what psychologist Ghislaine Boulanger described as a “feeding frenzy” of therapists hurrying to help, (some even walking to fire stations and simply standing outside in case someone wanted therapy) all without knowing what helping would entail, all to assist in the efforts taking place in the aftermath of such a traumatic event witnessed live by hundreds of thousands of people. Boulanger, along with psychoanalyst and interfaith chaplain Margaret Klenck, described how at first the mental health professionals on the scene at that time were diving right into “the nitty-gritty” of therapy or “overmedicating people with tranquilizers and antidepressants,” when in reality, Klenck said, they were not depressed. They were traumatized and grieving, so naturally they were crying.

          Psychologist Donna Bassin, who was a therapist for victims and their family members following 9/11, noticed that she was “emotionally transformed” by being a therapist during that time. “I started becoming more aware of community trauma, realizing how much people needed each other, not just 45 minutes in the psychotherapy office.” Years of trauma research and research on effective therapeutic practices have proven that most clients do not respond positively to long, detailed, and intense therapy immediately following a traumatic event. Richard McNally, a psychologist at Harvard, remarked how one of the most impactful lessons that were learned due to 9/11 was that people are far more resilient than we, specifically therapists in this case, thought.

          As we look back on the past 23 years following a day that caused a loss of life for nearly 3,000 people and injured over 6,000, one lesson is starkly clear: we, as a community and as a nation, are more resilient than we think. We have built a bronze memorial, and etched in its surface the names of every single victim. We have built a new building in its place, 1,792 feet in the air, looking down over not only the historical New York City but also the 70-foot-deep memorial for the buildings. Therapists, first responders, the government, and doctors alike have all discovered new and more effective ways to deal with a country wreaked by terror and tragedy, and have created and discovered new ways to help people, built on the ashes of terror of times past.

          Just like the “rebirth” that the Renaissance was, in 2024 we, too, can usher in our own enlightenment.

          Psychiatric disorders associated with trauma exposure: PTSD, major depressive disorder, generalized anxiety disorder, panic disorder, and substance abuse disorders.

          If you or someone you know is struggling with trauma-related disorders or with mental health in general, 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/

          https://www.nytimes.com/2009/09/11/nyregion/11nyc.html

          https://www.nytimes.com/2011/07/29/health/research/29psych.html

          https://www.sciencedirect.com/science/article/pii/S2214999614002926

          Domestic Violence and Sports

          GalleryJudy Gurfein Leave a comment
          Vector illustration

          Domestic Violence and Sports
          By: Camillia Ghavami


          When we watch sports games many of us feel passionate about whether our teams win or lose. Many find excitement in watching their favorite teams battle it out for the win, others may be terrified.


          Tubi’s famous Super Bowl commercial in 2023, that made it seem like someone was changing the channel, is an example of the fear many women live in while watching sports games. Some may have laughed the prank off with their families, while those in more aggressive households were met with terrifying outbursts of violence. One woman described her experience with her boyfriend violently screaming at her to find the remote and then punching a hole in a wall. Another woman who worked at a sports bar described the whole bar screaming profanities at her.

          The reaction to this commercial is bringing to light a relationship few know about between sports and domestic violence. More and more studies are showing that there is a relationship between domestic violence and the wins and losses of professional football teams. Empirical analyses show that in the US, there are more domestic violence arrests on Sundays when there are NFL games than on Sundays when there are no games played. This relationship is not just found in the US. In England, domestic violence reports rose by 38% when the national soccer team lost. Even when the team won, domestic violence still rose by 26%. The biggest cause of this rise in domestic violence might have to do with whether the team wins or loses. One study found upset losses (a team loses when it was predicted to win by 4 or more points) led to a 10% increase in domestic violence by men while the rise in violence after other types of losses (like when the games were expected to be close) were small. This rise in violence is even larger when the games are more important.

          The problem of domestic abuse is an epidemic that runs rampant in this country. 1 in 3 women and 1 in 4 men have experienced any form of physical violence done by an intimate partner. Additionally, 1 in 7 women and 1 in 25 men have been injured by an intimate partner. While of course all these instances were not done in reaction to a sports game, imagine if during the next big sports game, famous athletes came together and denounced domestic violence. Maybe this would lead to a new turn in our culture, where the possibility of someone changing the channel during the Super Bowl is not met with violence.


          If you or someone you know is suffering from domestic violence, 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/

          References:
          https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3712874/
          https://www.psychologytoday.com/us/blog/making-sense-chaos/202009/nfl-losses-are-associated-increased-domestic-violence
          https://trinitonian.com/2023/03/02/how-sports-culture-is-connected-to-domestic-violence-and-abuse/#:~:text=According%20to%20a%20study%20conducted,when%20no%20games%20are%20played
          https://ncadv.org/STATISTICS
          https://www.themarysue.com/that-viral-tubi-superbowl-commercial-had-some-real-life-consequences-that-cant-be-ignored/


          PTSD and Memory Loss

          GalleryJudy Gurfein Leave a comment

          PTSD and Memory Loss

          By: Diane Ulloa

          PTSD causes feelings of intense, disturbing thoughts and feelings related to their experience that last long after the traumatic event has ended. People with PTSD may relive their traumatic event(s) through flashbacks or nightmares and they may feel sadness, fear, or anger. They may also feel detached or estranged from other people (American Psychiatric Association). PTSD also has the ability to cause memory loss whether it be short-term or long-term, both can be affected. Four steps to fix PTSD related memory loss would be:

          1. Get treatment, therapy and medication are two of the most common treatment options for PTSD. Medication and therapy such as Cognitive Behavioral Therapy [CBT] or prolonged exposure therapy have been shown to be effective in managing PTSD.
          2.  Stay Active. By staying physically active and mentally active through brain games or learning new skills, one can help keep their brain sharp and active.
          3. Prioritize Sleep, good sleep appears to be essential for memory consolidation and processing.
          4. Use Memory Aids, which are tools that are designed to help accommodate people who experience memory difficulties which could include calendars, notepads, and alarm clocks. (healthline.com)

          The types of behavioral therapy that can aid in this memory loss and other symptoms caused by PTSD are:

          • Cognitive Therapy: A type of talk therapy that helps people with PTSD recognize the cognitive patterns that are keeping them stuck, this is often paired with exposure therapy.
          • Exposure Therapy: Helps people with PTSD safely face both situations and memories that they find frightening so they can learn to cope with them effectively. This kind of therapy can be particularly helpful for flashbacks and nightmares.
          • Eye Movement Desensitization and Reprocessing (EMDR): Combines exposure therapy with a series of guided eye movements that help you process traumatic memories and change how people with PTSD react to them. (Mayoclinic.org)

          Primary treatment is psychotherapy, but medication could also be prescribed as needed. Medication may include antidepressants, anti-anxiety medications, and prazosin which has the ability to reduce or suppress nightmares in some people with PTSD.

          If you or someone you know is struggling with their mental health and/or PTSD (memory loss) 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.psychiatry.org/patients-families/ptsd/what-is-ptsd#:~:text=People%20with%20PTSD%20have%20intense,or%20estranged%20from%20other%20people.

          https://www.healthline.com/health/mental-health/memory-loss-and-ptsd#causation

          https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/diagnosis-treatment/drc-20355973#:~:text=For%20PTSD%2C%20cognitive%20therapy%20often,helpful%20for%20flashbacks%20and%20nightmares.

          PTSD in Military Veterans

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          PTSD in Military Veterans

          By: Mercedes Renter

          What does PTSD stand for? Post-traumatic stress disorder is a mental health disorder which often develops after someone goes through or sees a life-threatening event. The symptoms of PTSD tend to start soon after the traumatic event but may not appear until months or years later. There are four common symptoms of PTSD. The first symptom is reliving the event which can feel very scary and real. Nightmares can occur as well as flashbacks and you may see, hear, or smell something that can remind you of the event. The second symptom is avoiding things that remind you of the event. For example, for veterans they may avoid gun ranges when they are not deployed because it can trigger past emotions. The third symptom is having negative thoughts and feelings which did not occur before the traumatic event. An individual suffering from PTSD can feel numb or may think the world is full of danger and have a hard time with trusting anyone. The fourth symptom is feeling on edge which can lead to having a hard time falling asleep, find it hard to concentrate, or even become startled by a loud noise or surprise.

          There are lifestyles changes that can help a veteran cope with post-traumatic stress disorder. Interacting with trauma survivors and other veterans who have experienced PTSD can be beneficial. Additionally, exercising can be helpful by providing a steady schedule into your everyday life. Eating healthy and spending more time with loved ones are also healthy habits that can help cope with post-traumatic stress disorder. These are all helpful changes for an individual suffering from PTSD because it allows a positive change in their daily life.

          If you or someone you know is struggling with Post-traumatic stress disorder 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

          Reference: https://www.ptsd.va.gov/understand/common/common_veterans.asp

          Emotionally Abusive Relationship: How to Spot the Signs

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          Emotionally Abusive Relationship: How to Spot the Signs

          By Erika Ortiz

          Abuse of any kind must never be tolerated. Whether it is from your boss, spouse, family member, or friend, it should not be taken lightly and must be acted upon quickly before it can escalate to serious issues. However, some forms of abuse are difficult to distinguish and can be especially hard to come to terms with when the abuser is a significant other such as a spouse or boyfriend/girlfriend. Physical abuse is a well-known form of abuse; however, emotional abuse has a subtle component, making it very tricky to catch. Here are some signs that you are in an emotionally abusive relationship:

          Controlling and manipulative- Your partner may make you feel bad for going out or give you a curfew when you’re out with friends.

          Gaslighting- Your partner can make you believe points in their arguments or things you have “said” that never happened.

          Humiliation and embarrassment- They may insult you, make fun, and make you feel bad about yourself in front of others.

          Silent treatment/Stonewalling- After an argument, they may “shut down” to make you feel abandoned and cut communication.

          Threats- They may flat-out threaten you in any way, shape, or form possible.

          There is quite a lengthy list of signs of emotional abuse. However, it is crucial to be proactive and seek help. These issues can cause or result in depression, anxiety, suicide, and PTSD. It can even lead to physical abuse if it hasn’t already occurred. Please seek professional help immediately if you see any signs of abuse or feel unsafe or unwell.

          If you or someone you know is experiencing an emotionally abusive relationship or signs of it, 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 https://www.counselingpsychotherapynjny.com

           Sources

          https://www.webmd.com/sex-relationships/signs-emotionally-abusive-relationship

          https://www.healthline.com/health/signs-of-mental-abuse#control-and-shame

          Intergenerational Trauma: What is it?

          GalleryJudy Gurfein Leave a comment

          Intergenerational Trauma: What is it?

          By Erika Ortiz

                      Intergenerational trauma is a term used to describe the difficulties or challenges a family has experienced for generations. Intergenerational trauma can inflict negative feelings and experiences through either an individual or the family as a whole. It usually starts with one family member who has had a traumatic experience. The family members then goes on to either repeat the action that traumatized them or project their feelings onto family members, continuing the cycle of trauma. Historical trauma can catalyze intergenerational trauma. For example, a great-grandmother survived the Holocaust; however, she now behaves in a very reserved and cold manner, so she struggles to express emotions such as love and compassion. Since she raised her children in such a manner, they may grow and have children and display that same type of avoidant relationship. Another example can be that a mother was sexually abused when she was younger, her daughter was also sexually abused, and her granddaughter suffered from that experience. The individual who suffers the trauma can pass down and then project the feelings that were felt at the time of the incident. Since they most likely did not receive the proper care and treatment to manage the mental health issues that they were experiencing, they relayed that same traumatic feeling to the next generation of their family. Hence, it is critical to seek professional help. Here are some ways to cope/deal with inter-generational trauma:

          • Break the cycle- interrupt and prevent the repetition of trauma
          • Hear each other out- although this can be difficult, listening is key to fixing
          • Get the professionals involved- the best way to cope with any mental health issue or fragmented relationship is to get a qualified professional’s help


          Source:

          https://www.choosingtherapy.com/intergenerational-trauma/

          If you or someone you know is experiencing intergenerational trauma or other traumas, 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 https://www.counselingpsychotherapynjny.com

          Post-Traumatic Stress Disorder: The Aftermath of a School Shooting

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          Post-Traumatic Stress Disorder: The Aftermath of a School Shooting

          By Fiona McDermut

                      After yet another school shooting in the United States left 19 children dead, many parents in grief, and a multitude of survivors in agony, it is time we recognize the impact that is left on the survivors of such devastating events. Although children are known to be particularly resilient, such impactful experiences may lead to post-traumatic stress disorder (PTSD).

                      In children, PTSD symptoms are often overlooked or confused with other psychiatric disorders. These symptoms may include restlessness, fidgety behavior, trouble focusing or staying organized, reliving traumatic events through thought or play, nightmares, inconsistent sleep patterns, intense fear or sadness, angry outbursts, avoiding topics associated with the traumatic event, and feelings of denial. These emotions may be triggered by something that reminds the child of the event.

                      Such devastating events are hard for anyone to understand, especially a child. If your child has experienced trauma, the symptoms can be best treated if they get in contact with a mental healthcare provider as soon as possible. Even if the child is not ready to talk about the events, many psychologists and psychotherapists can understand the situation by observing the child’s behaviors. Multi modal psychotherapy including cognitive behavioral therapy is frequently used in these situations. In certain situations, your child’s therapist may recommend the addition of safe and helpful medication.

                      School should be a safe space for children, but after recent events, apprehensiveness in regard to attending school is understandable. If you or your child is experiencing extreme persistent fear following the recent events, your child will benefit from meeting with a mental health professional to get necessary treatment for his or her symptoms.

                      If you or someone you know is struggling with post-traumatic stress 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.cdc.gov/childrensmentalhealth/ptsd.html

          Image Source:

          https://www.unicef.org/parenting/how-talk-your-children-about-conflict-and-war

          Post Traumatic Stress Disorder: Understanding the Diagnostic Criteria

          GalleryJudy Gurfein Leave a comment
          Post Traumatic Stress Disorder: Understanding the Diagnostic Criteria

          By: Abby Erasmus

          Post- traumatic stress disorder is a psychiatric disorder that individuals can develop after experiencing a traumatic event. Traumatic events are defined by incidents that have the capacity to provoke fear, helplessness, or horror in response to the threat of injury or death. Further, as stated in the Diagnostic and Statistical Manual of Mental Disorders (5th ed; DSM- 5; American Psychiatric Association, 2013), one must display 4 types of symptoms to be diagnosed with post- traumatic stress disorder.

          The first type is symptoms of re-experiencing the event in which the individual has unwanted recollections of the event (i.e. nightmares). The second type is symptoms of avoidance that include avoiding thoughts and feelings in regard to the incident as well as external reminders of the event (i.e. people, places). The next type of symptoms is symptoms of negative alterations in cognition and mood associated with the traumatic event (i.e. exaggerated negative beliefs/ expectations about oneself). Lastly, individuals will experience marked alterations in arousal and reactivity associated with the event (i.e. exaggerated startle response). Additional criteria includes length of symptoms in which symptoms should persist for longer than one month, severity of symptoms in which they should cause significant clinical distress, and cause of disorder such that symptoms should not be linked to the effects of drugs or substances.

          It is also important to note that individuals can have a “delayed expression” of post-traumatic stress disorder (PTSD), which, according to the DSM-5, occurs when the “full diagnostic criteria [of PTSD] are not met until at least 6 months after the event” (APA, 2013). To restate, symptoms can manifest long after this 6 month window. The DSM-5 also states that having had a prior psychiatric disorder such as depression, and emotional problems such as anxiety problems, serve as risk factors in developing PTSD after one experiences a traumatic event. This relationship also works in reverse; experiencing a traumatic puts one at an increased risk for developing other psychiatric disorders such as generalized anxiety disorder (GAD), and at risk for the worsening of GAD symptoms if they had been diagnosed prior to the PTSD diagnosis.

          If you or someone you know is seeking therapy for post- traumatic stress 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.ncbi.nlm.nih.gov/books/NBK207191/box/part1_ch3.box16/

          https://www.nejm.org/doi/full/10.1056/NEJMra012941