Virtual Learning: Back to School…Online!

     Living through a global pandemic has put school districts, as well as family members, through an abundance of stress and anxiety as we begin to turn the corner into our not so typical “back to school” season. Parents are presented with the hard decision of whether to send their child into the classroom (if offered that option) or risk the possibility of having to cut their hours at work in order to be at home to help facilitate their child’s virtual learning experience. Some common signs of anxiety to look out for are feeling nervous, an impending sense of danger, trouble concentrating or thinking of anything other than the present worry, and having the urge to avoid things that trigger your anxiety. Here are some tips to help take care of your mental health this upcoming school year!  

Stay Involved With Decision Making                                                                     Going back to school always involved decision making, so going back to school with COVID-19 makes planning much more necessary. To help reduce anxiety, start early to ensure you have all the necessary resources to give your child to have a successful school year (especially if they will be experiencing the classroom from home). Always ask questions if you feel unsure.

You Can’t Manage Everything                                                                               Not everything is predictable. Remember to take everything on a day to day basis and remind yourself that you are doing everything you can for your child in these unforeseen times.                                                                            

Communicate                                                                                                           Continue to research resources if needed and to reach out to your child’s school if you have any questions. Reach out to other parents in the community who are in the same situation you are in for further support. They can be good to share ideas with, but also to talk to about any doubts or worries! Establish a support system that you can contact if you ever need help.

Self-care                                                                                                                           Always remember to take time for yourself for hobbies or spending time with family and friends. Take part in activities you enjoy and that take your mind off of current worries or stressors.

If you or someone you know needs support with anxiety, please contact our psychotherapy office 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/

Source: : https://www.psychologytoday.com/us/blog/modern-mentality/202008/back-school-in-pandemic-tips-foster-mental-health                                Image Source: https://www.theonlinemom.com/wp-content/uploads/2015/08/back-to-school.jpg

Anxiety, Depression, Eating Disorders, ADHD, Et al: How to Support a Friend with Mental Illness

By: Sarah Cohen

When helping a friend with a mental illness, the first step should be assessment of their symptoms. Sometimes they just might be going through a difficult time, but if certain common symptoms associated with mental health issues persist it is imperative to respond sensitively. Majority of the time, friends will just want to know they have your support and that you care about them. A good way to show your support is by talking to them. If you provide a non-judgmental space for them to speak about their issues it will help encourage them to be open with their problems. Let them lead the conversation and don’t pressure them to reveal information. It can be incredibly difficult and painful to speak about these issues and they might not be ready to share everything. If you aren’t their therapist do not diagnose them or make assumptions about how they are feeling, just listen and show you understand. If someone doesn’t want to speak with you, don’t take it personally, just continue to show them you care about their wellbeing and want to help as much as possible. Just knowing they have support can give them the strength they need to contact someone who can help them.

If a friend is having a crisis, such as a panic attack or suicidal thoughts, you must stay calm. Try not to overwhelm them by asking a lot of questions and confronting them in a public setting. Ask them gently what would be helpful to them right now or reassure them. If they hurt themselves, get first aid as soon as possible. If someone is suicidal, contact the suicide hotline at 800-237-8255 immediately.

The best way to help someone is by connecting them to professional help. By expressing your concern and support you can show them that they can get help and their mental health problems can be treated.

If you or someone you know needs support with their mental illness, 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.mentalhealth.org.uk/publications/supporting-someone-mental-health-problem

https://www.mentalhealth.gov/talk/friends-family-members

COVID-19: Anxiety

COVID-19: Anxiety

By: Alexa Greenbaum

Reported rates of anxiety have increased since the COVID-19 pandemic. The number of people reporting anxiety and fear symptoms is well above historical norms. Polls have found that nearly half of Americans report the coronavirus crisis is harming their mental health. Hotlines have seen consistent results. During April alone, a month in which most Americans were in quarantine, the federal government’s distress hotline increased text rates more than 1,000 percent. In addition, dozens of states and locally run distress hotlines have reported sizeable increases in call volume as well. If you are experiencing anxiety during this time, you are not alone.

Americans who are in quarantine and sheltering in place are suffering. Outbreaks are stressful and symptoms of anxiety can include:

•    Fear and worry about your health and the health of your loved ones.

•    Changes in sleep or eating patterns.

•    Difficulty sleeping or concentrating.

•    Worsening of chronic health problems.

•    Worsening of mental health conditions.

•    Increased use of alcohol, tobacco, or other drugs. 

In particular, those who have reported high rates of fear and anxiety include:

•    Minorities

•    Women

•    Older people and people with preexisting health conditions who are at higher risk for severe illness from COVID-19 as well as people who have mental health conditions including problems with substance abuse

•    Adults under the age of 34 (children and teens)

•    People who are helping with the response to COVID-19 (doctors, health care providers, and first responders

During this time, it is more important than ever to take care of your mental health. Asking for and accepting help is a sign of strength. Call your health care provider if you are experiencing stress or anxiety. Health care providers can help you by providing a procedure and referrals.

If you or someone you know is experiencing anxiety  from COVID-19 or another crisis, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Sources:

https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html

https://www.healthline.com/health-news/what-covid-19-is-doing-to-our-mental-health

Image Source:

https://www.vox.com/identities/2020/4/16/21219693/coronavirus-anxiety-depression-mental-health-ptsd-covid

Social Anxiety Disorder: More Than Just Being Shy

By: Gabriella Phillip

Social Anxiety Disorder, also known as social phobia, is a mental health condition involving an intense, persistent fear of being watched or judged by others. The fear that people with social anxiety experience in social situations is so strong that they often feel as though it is beyond their control. Social Anxiety Disorder affects around 15 million American adults and is the second most commonly diagnosed anxiety disorder following specific phobia.

Common symptoms for people with social phobia include

  • being extremely anxious around other people,
  • being self-conscious in front of others,
  • being very afraid of being embarrassed in front of other people
  • being the focus of other people’s judgment
  • worrying for days or weeks before a social event
  • having a difficult time cultivating friendships
  • avoiding places where other people will be present

Bodily symptoms for people with social anxiety include

  • heavy sweating
  • trembling
  • nausea
  • blushing
  • having difficulty speaking

Social phobia sometimes runs in families, but no one knows for sure why some people have it, while others don’t. When chemicals in the brain are not at a certain level it can cause a person to have social phobia. Social anxiety usually begins during childhood/ teenage years, typically around age 13. A doctor can tell if the person has this disorder if symptoms are present for at least 6 months. This disorder should be treated in a timely manner to help spare those diagnosed from years of unpleasant feelings and anxiety.

Treatment can help people with social phobia feel less anxious and fearful. Two types of treatments used for Social Anxiety Disorder are psychotherapy, or talk therapy, and medication that’s safe and effective, often used in combination. Cognitive behavior therapy is an effective type of psychotherapy used for anxiety related disorders. Medication used to treat Social phobia include selective reuptake inhibitors (SSRIs), antidepressants, anti-anxiety medicines, and beta blockers. It’s important to choose a method of treatment that is best suited towards your individual needs.

If you or someone you know is struggling with Social Anxiety Disorder, Arista Counseling and Psychotherapy can 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. 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.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness/index.shtml

https://www.verywellmind.com/difference-between-shyness-and-social-anxiety-disorder-3024431

 

Anxiety and Bullying

Image result for anxiety and bullying

 

Anxiety and Bullying

By: Vanessa Munera

Being bullied is not an easy thing to handle. It can be a traumatic experience for teens that are being targeted. Those who are bullied experience impacts in their lives such as feeling lonely, anxious, isolated, and vulnerable. Unfortunately, when a bully moves on to the next target, these consequences of bullying linger longer for the victim. After prolonged exposure, victims of bullying can develop adverse effects. These victims will experience depression, eating disorders, and thoughts of suicide. In addition, victims of bullying can develop some sort of anxiety disorder. The top four major anxiety disorders victims of bullying can experience are Post-Traumatic Stress Disorder (PTSD), generalized anxiety disorder (GAD), panic attacks and social anxiety disorder.

  1. Post-Traumatic Stress Disorder (PTSD): this occurs after a traumatic or life-threatening event. PTSD can develop due to events such as a car accidents or losing a close relative. This disorder can also show up after repeated abuse or even bullying. Children who are bullied may experience nightmares, flashbacks, withdraw from others, or are easily startled. Kids, who undergo long term and abusive bullying, have increased chances of developing PTSD.

2. Generalized Anxiety Disorder (GAD): Kids with GAD are often tormented with worries and fear that distract them for their daily life activities. Those with generalized anxiety have a constant feeling that something bad is going to happen. This is not uncommon with victims of bullying. With GAD, physical symptoms may appear such as insomnia, stomachaches, fatigue, and restlessness.

3. Panic Attacks: Those who suffer from panic disorders must deal with unpredictable and repeated attacks. When suffering from a panic attack, the attack is usually with no warning and can cause physically symptoms. These symptoms include sweating, chest pain, and rapid or irregular heartbeats. In fact, a part of the brain called the amygdala plays a pivotal role in panic attacks. When left untreated, the sufferer will begin to avoid going out or things they once enjoyed, in order to prevent another panic attack.

4. Social Anxiety Disorder: People who suffer from social anxiety fear being humiliated or seen negatively by others. Those with this disorder often worry that the way they look or act cause others to mock them. This can cause sufferers to avoid social gatherings to avoid being humiliated. In fact victims of bullying often develop social anxiety due to the repeated shame and public humiliation they experienced.

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

 

References:

https://www.verywellfamily.com/bullying-and-anxiety-connection-460631

https://www.stopbullying.gov/blog

 

 

Social Anxiety Disorder

Social Anxiety Disorder

Social Anxiety Disorder

By: Julia Keys

It is typical to feel a bit nervous before public speaking or maybe a little anxious before a performance, however, for those with Social Anxiety Disorder, or SAD, even the smallest interactions with others can provoke feelings of extreme anxiety. Social Anxiety Disorder is characterized by a strong and persistent fear of humiliation and embarrassment that could be caused by social situations. People with Social Anxiety Disorder struggle with feelings of self-consciousness that are produced by the possibility of judgement in social interactions. Oftentimes the distress caused by social situations can become so overwhelming for those with SAD that they begin to avoid everyday activities and responsibilities such as going to work, going to school, or picking up the phone.

Signs of Social Anxiety Disorder:

  • Anxiety about being with other people
  • Difficult time interacting with others, stuttering, trailing off, and reserved behavior are common
  • Self-consciousness in front of other people and feelings of embarrassment
  • Fear of being judged
  • Difficulty making and keeping friends
  • Blushing, sweating or trembling around other people
  • Other physical symptoms such as disorientation, shallow breath, diarrhea, muscle tension and upset stomach

Social Anxiety Disorder can be treated with psychotherapy, medication, or both. A common affliction for those with SAD is the rumination that follows social interactions. New types of therapy are being developed to help those with SAD deal with this common symptom: post-event processing or PEP Mindfulness based therapies are aiming to target the feelings of shame, worry, and embarrassment that are caused by overanalyzing personal performance in social situations. Cognitive-Behavioral therapy helps people with SAD change unhealthy thought patterns that may be contributing to their anxiety. Medications such as antidepressants and anti-anxiety meds are often used in conjunction with psychotherapy. Social Anxiety Disorder affects over 19 million people across the US; however 35% of those suffering with social anxiety waited over ten years to seek treatment. Don’t hesitate to reach out and get the help you need.

If you or a loved one is struggling with social anxiety, do not hesitate to seek help by contacting Arista Counseling & Psychotherapy, located in New York and New Jersey to speak to licensed professional psychologists, psychiatrists, psychiatric nurse practitioners or psychotherapists. To contact the office in Paramus NJ, call (201) 368-3700. To contact the office in Manhattan, call (212) 722-1920. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Sources:

https://www.anxiety.org/social-anxiety-disorder-sad

https://www.psychologytoday.com/us/blog/fulfillment-any-age/201904/the-one-dose-approach-help-social-anxiety-disorder

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Bullying: Impact of Bullying on Children’s Mental Health

Bullying: Impact of Bullying on Children’s Mental Health

By Lauren Hernandez

            National media has created a frenzy of coverage surrounding Wisconsin’s controversial ordinances which fine parents if their children are bullies in school. Some may disagree with this new policy; however, others believe this harsh measure will help to eliminate bullying among school children.

Bullying can be physical, emotional, or verbal, and is a pattern of harmful, humiliating behaviors directed towards people who seem vulnerable to the bully. Oftentimes bullying happens in school, but with the rise of technology, cyberbullying is also becoming a problem. Children who are victims of bullying are typically vulnerable to mistreatment because they may be smaller, weaker, younger, and fearful of the bully; however, this description is general and does not apply to everyone. Bullies use their power, whether that is physical strength, popularity, or intimidation to harm others. Bullies tend to demonstrate signs of aggression or hostility beginning around 2 years old. It has been found that bullies have mental health issues such as lack of emotional understanding, lack of prosocial behavior, and increased rates of hostility as well as insecurity. Additionally, bullies typically have difficult relationships with their parents, teachers, and peers.

Victims of bullying not only suffer from physical consequences, but being bullied negatively impacts their mental health and overall well-being.  These detrimental social and emotional abuses can foster the development of mental health disorders such as anxiety or depression.  Victims of bullying often experience feelings of low self-esteem, isolation and loneliness. Some children create somatic symptoms such as headaches, stomachaches and other complaints which might not be valid, in order to prevent attending school. Victims of bullying generally stop liking school because they associate it with the threat of a bully. Incidents of bullying should immediately be reported to a school official, parent, or other adult that can help the victim and resolve the situation.

It is important to recognize that in most cases both the bully and the victim are suffering from mental health issues and they would benefit from treatment by a school counselor, psychologist or psychiatric nurse practitioner.

If you or someone you know who may be suffering from bullying, depression, or anxiety, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

 

Sources:

https://www.psychologytoday.com/us/basics/bullying

https://www.psychologytoday.com/us/blog/resilience-bullying/201906/can-wisconsin-get-rid-bullies-fining-their-parents

https://www.psychologytoday.com/us/articles/199509/big-bad-bully

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Antidepressants

Antidepressants

By: Lauren Hernandez

            If you or someone you know has been seeing a psychiatrist or psychiatric nurse practitioner for treatment of depression, there are various types of antidepressants a mental health provider can prescribe. It is important to be familiar with different types of antidepressants in order for you, as the patient, to understand what the medication actually does on a neurological level.

The most common type of antidepressant prescribed is a Selective Serotonin Reuptake Inhibitor, known as an SSRI. SSRIs mainly treat depression but they are also effective in the treatment of anxiety disorders, Obsessive-Compulsive Disorders, and Post Traumatic Stress Disorder. Serotonin is a neurotransmitter in the brain which impacts your mood, sexual desire, appetite, sleep, memory and learning as well as other similar functions. On a neurological level, SSRIs prevent serotonin reabsorption which builds up serotonin in the synapse. This allows receptors to receive the signal and react with the optimal amount of serotonin. People suffering from major depressive disorder and anxiety disorders typically have lower serotonin levels. By preventing reabsorption in the synapse via medications, symptoms of these disorders may decrease. In 1987 Prozac was the first approved for treatment of those with depression and became one of the most prescribed antidepressants. Other common SSRIs include Lexapro, Paxil, Zoloft, and Celexa.

Serotonin and norepinephrine reuptake inhibitors, SNRIs differ from SSRIs in that they block the reabsorption of serotonin and norepinephrine. Norepinephrine is a neurotransmitter that influences hormones and the “fight or flight” response in the brain. Approved SNRIs include Cymbalta, Pristiq and Effexor XR.

Some of the other common types of antidepressants prescribed include norepinephrine and dopamine reuptake inhibitors (NDRIs) which block the reabsorption of norepinephrine and dopamine. This is only seen to be effective in the medication bupropion, which is also known as Wellbutrin. Other types of antidepressants that are less common include Tetracyclics (TCA’s), Monoamine Oxidase Inhibitors (MAOI’s), and Serotonin Antagonist and Reuptake Inhibitors. These older medications are not prescribed as frequently because of the development of newer medications that effectively decrease symptoms and have fewer side effects.

Medication is helpful; however, it is most effective when used in combination with different types of psychotherapy or support groups. If you or someone you know is struggling with depression or any type of anxiety or mood disorder, it is important to seek professional help from a psychiatrist or psychiatric nurse practitioner who can provide antidepressants as well as support through talk therapy. If you or someone you know is currently taking antidepressants, it is extremely important to continue taking the medication and avoid discontinuations.

If you or a loved one is suffering from depression, anxiety, or a mood disorder, please contact Arista Counseling & Psychotherapy, located in New York and New Jersey to speak to licensed professional psychologists, psychiatrists, psychiatric nurse practitioners or psychotherapists. To contact the office in Paramus NJ, call (201) 368-3700. To contact the office in Manhattan, call (212) 722-1920. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

 

 

Sources:

https://www.mayoclinic.org/diseases-conditions/depression/in-depth/antidepressants/art-20044970

https://www.webmd.com/depression/how-different-antidepressants-work#1-3

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Panic Attacks

Panic Attacks

By: Lauren Hernandez

Many people face anxiety on a daily basis. Panic attacks are an extreme form of anxiety that many people experience. Panic attacks are described as an immediate fear of dying, going crazy or losing control. People who experience panic attacks may feel intense fear despite no real danger. Attacks may last anywhere from about ten minutes to an hour or more. Panic attacks are categorized as either situational or unexpected. According to PsychologyToday, “situational panic attacks are triggered by a particular scenario while unexpected panic attacks seem as though they come out of nowhere.”  While general anxiety is the worry that bad things might happen in one’s life, panic attacks feel like a surge of imminent danger and often have physical symptoms.

Symptoms of panic attacks include:

  • Increased heart rate or palpitations
  • Sweating
  • Trembling or shaking
  • Shortness of breath or a feeling of being smothered
  • Choking sensations
  • Chest pain or discomfort
  • Nausea
  • Dizziness or lightheadedness
  • Feelings of unreality or being detached from oneself
  • Numbness or tingling sensations, particularly in the extremities or around the lips
  • Chills or hot flashes

Panic attacks are a terrifying experience; however, they are quite treatable and can be helped with a combination of therapy and medications. For people who experience situational panic attacks, it is best to leave the feared situation which will typically decrease anxiety and end the panic attack. For people who experience unexpected panic attacks, take note of where, when, and possibly why the panic attack began in order to analyze this occurrence further with a mental health professional. Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that is one of the most common methods of treating panic attacks and anxiety disorders. Additionally, medication such as Selective Serotonin Reuptake Inhibitors (SSRIs) can help relieve anxiety and prevent panic attacks. Immediate relief can be achieved when benzodiazepines such as Xanax and Klonopin are taken. These medications are potentially abusive so they must be used with caution. If you or someone you know is suffering from panic attacks or severe anxiety, contact a therapist, psychologist, or psychiatric nurse practitioner who can help.

If you or someone you know who may be suffering from panic attacks, 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/ .

 

Source: https://www.psychologytoday.com/us/blog/anxiety-help/201109/panic-attacks-what-they-are-and-how-stop-them-0

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Suicide Prevention: What Can You Do to Help?

Suicide Prevention: What Can You Do to Help?

By Lauren Hernandez

                If someone you care about has recently expressed suicidal thoughts or has told you they have attempted suicide, it is important to offer support to that person and to seek professional help. Suicide attempts are often triggered when a person cannot handle the certain stressors and do not have stable coping mechanisms to overcome these obstacles. People considering suicide typically struggle with other mental illnesses such as depression, anxiety disorders, mood disorders, Borderline Personality Disorder, or Post Traumatic Stress Disorder as well as a variety of other conditions. If someone has shared their suicidal thoughts with you, provide them with close comfort by staying with them. Even if you are unsure of what to say, it is important for that person to know that they are not alone.

It is important to make a plan, that encourages at risk individuals to see a provider such as a psychologist or psychiatric nurse practitioner who can offer professional help. If they are overwhelmed by their workload, perhaps try to ease their worries by offering to help them complete specific burdening tasks. It is important to offer them a way in which they can surround themselves with supportive people, perhaps invite them to a relaxing and judgement free space with a few friends. Additionally, help them to find ways in which they can practice self-care, healthy eating, exercise, and sleep, as well as listening to music and other activities that help to boost mood.

It is important to recognize that although you are trying to help a loved one to the best of your ability, the person struggling with suicidal thoughts needs professional care and therapy. There is only so much you can do to help and that is why reaching out to safety networks is essential. Other resources you should find in your area include mental health providers such as a psychologist or psychiatric nurse practitioner who can work with the patient to create a plan and prescribe medication. If you or someone you know is in immediate danger, call 9-1-1 to request immediate assistance and hospitalization to prevent self-harm or a possible suicide from happening. The National Suicide Prevention Lifeline is a 24/7 confidential Lifeline which is available at any time for anyone in the United States to get support if you or a loved one is in crisis. The National Suicide Prevention Lifeline’s number is 1-800-273-8255. To find more information on how to help yourself or someone in crisis can be found on these websites:

https://suicidepreventionlifeline.org/help-yourself/

https://afsp.org/find-support/my-loved-one-made-attempt/loved-one-made-attempt/.

If you or a loved one is suffering from suicidal thoughts please contact Arista Counseling & Psychotherapy, located in New York and New Jersey to speak to licensed professional psychologists, psychiatrists, psychiatric nurse practitioners or psychotherapists. To contact the office in Paramus NJ, call (201) 368-3700. To contact the office in Manhattan, call (212) 722-1920. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

 

 

 

 

Sources:

https://suicidepreventionlifeline.org/help-yourself/

https://afsp.org/find-support/my-loved-one-made-attempt/loved-one-made-attempt/.

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