OCD: Perinatal/Maternal Obsessive Compulsive Disorder

Perinatal/Maternal Obsessive Compulsive Disorder (OCD)

By: Isabelle Siegel

Conversations about postpartum depression have recently become commonplace, leading many people to become familiar with the signs and symptoms of this condition. As a result, new mothers are much quicker to recognize and label their struggles and to seek help. However, the same attention has not been paid to a similar condition: Perinatal or Maternal Obsessive Compulsive Disorder (OCD).

What is Perinatal/Maternal OCD?

Perinatal/Maternal OCD is essentially OCD with onset during pregnancy or shortly after giving birth. In general, OCD involves the presence of obsessions (“unwelcome thoughts, images, urges, worries or doubts that repeatedly appear in your mind”) and compulsions (repetitive behaviors or thought patterns performed to relieve anxiety caused by the obsessions).

Expecting and new mothers with Perinatal/Maternal OCD commonly experience obsessive thoughts about their infant’s safety, including intrusive thoughts about:

  • Unintentionally harming the infant
  • Sexually abusing the infant
  • Contaminating the infant
  • Making wrong or harmful parenting decisions

They may then engage in compulsive behaviors or thought patterns in order to relieve the resulting anxiety, including:

  • Repetitively calling the doctor or other health professionals
  • Repetitively checking on the infant
  • Total avoidance of the infant
  • Excessive washing of anything with which the infant might come in contact

Treatments for Perinatal OCD

Mothers experiencing Perinatal/Maternal OCD are not hopeless. As with other forms of OCD, Perinatal/Maternal OCD can be addressed with therapy and/or medication. Cognitive Behavioral Therapy (CBT) and, more specifically, Exposure and Response Prevention (ERP) can be used to target obsessive thoughts and compulsive behaviors.

If you or a loved one is experiencing symptoms of Perinatal or Maternal OCD, 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/

Sources:

Image Source: https://www.mothersclub.sg/mum-confessions-1/

COVID-19: Why going outside can help with your mental health

COVID-19: Why going outside can help with your mental health

By: Alexa Greenbaum

While social distancing during COVID-19, going outside has become one of the few activities to escape the house. In states that are in lockdown, governors such as in New York, Washington, and Montana have strongly encouraged people to go outdoors to run, walk, hike, and bike while practicing safe social distancing. Although it is not clear why, studies have found that spending time outside has a positive effect on our general well-being, including mental and physical health. In fact, doctors have been issuing “nature prescriptions” as a treatment for a range of conditions including chronic stress, depression, anxiety, PTSD, as well as others.

Efforts around the world have been promoting the health benefits of time spent outside. Regardless of the level of physical activity, spending time outdoors for even just 20 minutes per day can lower stress hormone levels, boost self-esteem, and improve mood.

Time in nature serves as an escape from daily pressures. The outdoors has been found to build resilience, hope, happiness, and optimism even before the added stressors of the COVID-19 pandemic. Additional research also suggests that going outside results in a lower risk of developing psychiatric disorders.

Based on several existing literature, positive effects documented were often described as “psychological healing,” “increased sense of well-being,” and “restorative.” Thus, a form of healing to achieve, maintain or promote a positive mental health state. Nature is a critical component of overall health and a great place to start.

If you or someone you know is struggling 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.forbes.com/sites/cassidyrandall/2020/04/09/why-going-outside-is-good-for-your-health-especially-right-now/#4479a8bd2de9

https://www.psychologytoday.com/us/blog/cravings/201909/nature-s-role-in-mental-illness-prevention-or-treatment

https://time.com/5539942/green-space-health-wellness/

https://www.health.harvard.edu/mind-and-mood/sour-mood-getting-you-down-get-back-to-nature

Image Source:

https://41nbc.com/2020/05/10/virus-outbreak

Anxiety during COVID-19

Anxiety during COVID-19

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

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

COVID-19: Parenting in a Stressful Time

COVID-19: Parenting in a Stressful Time

By: Alexa Greenbaum

Parenting in confinement during COVID-19 has many challenges. For many, the home has become the office and the classroom, making it more difficult to be productive and motivated. During this stressful time in isolation, it can be very difficult to keep children occupied while also working remotely, dealing with finances, and navigating the danger of the coronavirus. However, by creating structure, setting boundaries, and encouraging open communication, parents can improve their family dynamic.

Parents are having to take on more responsibilities than ever before. Especially in a very uncertain time, it is normal for children and parents to feel anxious, stressed, and overwhelmed. As a result, many parents and children are reacting to today’s stressors by acting out or regressing to behaviors long outgrown. Due to the additional stressors that come with COVID-19, parents are taking on too much which is causing parents to feel stressed, frustrated, and resentful. According to the APA’s Stress in America survey, “73% of parents report family responsibilities as a significant source of stress.” This can erode the feeling of mutual support and respect that is crucial to a healthy relationship.

To help, creating some structure in your life, such as a routine and designating a workspace for children to do their schoolwork and homework can be an effective way to set boundaries and help a family cope with stress. Thanking your child for allowing you to do your work, is an effective tool as it positively reinforces your child to continue giving you the space you need to be productive.

Sharing and designating daily responsibilities can improve the quality of a parent’s relationship with their children. Working together as a family and designating different tasks is something you and your children can control, and it teaches children to focus on those things they can control when feeling stressed.

To help parents create a healthy family dynamic in the climate of COVID-19, the way parents talk to their kids may need to be readjusted as well. Initiating regular open conversations with their kids. Giving your children your undivided attention can help a family work together to better understand, acknowledge, and address any stressors children are experiencing. Calming your children’s fears is important.

Take advantage of this time together, it can be an opportunity for your relationship with your kids to grow, but don’t forget to take care of yourself! For support, discussing experiences with friends, relatives, or a telehealth mental health professional can be helpful. At Arista Counseling, we have a multitude of different therapists that can help you.

If you or someone you know is looking for support, 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.apa.org/topics/covid-19/parenting-during-pandemic

https://www.apa.org/helpcenter/managing-stress

https://www.psychologytoday.com/us/blog/little-house-calls/202003/parenting-during-covid-19

Image Source:

https://www.parkview.com/community/dashboard/dealing-with-parenting-stress-during-covid-19

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

 

Shopping Addiction

By: Deanna Damaso

Shopping Addiction is a behavioral addiction where a person buys items compulsively or a specific item repeatedly as an attempt to relieve stress. Those suffering with a shopping addiction spend more time shopping than doing other activities because of their uncontrollable urges to spend money.

The joy of shopping has a direct effect on the brain’s pleasure centers by flooding the brain with endorphins and dopamine. The buyer gets a short-lived “shopping high” from making frequent shopping trips, buying large items, or expensive purchases. However, after a couple hours, the dopamine recedes and the shopper is left with an empty, unsatisfied feeling. This can lead to hoarding, depression, anxiety, and low self-esteem. If left untreated, compulsive buyers could go deeper into debt and turn to stealing.

Some signs of a shopping addiction often include:

  • Spending more money than anticipated
  • Compulsive purchases
  • Chronic spending when angry, anxious, or depressed
  • Lying about the problem
  • Broken relationships
  • Ignoring the consequences of spending money

Financial therapy is effective in teaching how to manage finances and shop more responsibly. Cognitive and behavioral therapies are effective treatments that identify and improve the negative thoughts and behaviors surrounding the addiction. Medications can be prescribed to those who struggle with both the addiction and other mental health issues. This combination treatment helps relieve symptoms to assist in recovery.

If you or someone you know is struggling with a shopping addiction, Arista Counseling & Psychotherapy can assist you. Contact us in Paramus, NJ at 201-368-3700 or in Manhattan, NY at 212-996-3939 to arrange an appointment. For more information about our services, please visit http://www.counselingpsychotherapynjny.com/

 

Sources:

https://www.healthline.com/health/addiction/shopping

https://www.psychologytoday.com/us/articles/200603/doped-shopping

Anxiety: Generalized Anxiety Disorder

By: Gabriella Phillip

Anxiety is normal as we all worry from time to time about meeting deadlines for work or school, or being on time for a scheduled appointment. However, people with generalized anxiety disorder, or GAD, experience a chronic state of severe worry and tension, often without provocation. People with GAD aren’t usually able to shift their focus from their concerns, even though they are aware that much of their anxiety is unwarranted. These worries can include overthinking plans and solutions, inability to set aside or let go of a worry, or severe difficulty with handling uncertainty. People diagnosed with generalized anxiety disorder undergo persistent, excessive worry that occurs on more days than not for at least six months and show at least 3 symptoms of the disorder.

For patients with GAD, worrying is often accompanied by physical symptoms including headaches, irritability, muscle tension, difficulty sleeping or concentrating, sweating, hot flashes, and restlessness. Generalized anxiety disorder affects around 6.8 million American adults; women are twice as likely as men to be afflicted. Onset age of this disorder can occur at any point in one’s life, but usually begins between childhood and middle age. Generalized anxiety disorder can affect all areas of life including social life, school, work, and family. According to a national survey conducted by the Anxiety Disorders Association, 7 out of 10 people diagnosed with GAD noted that their persistent anxiety has a clear impact on their romantic relationships and two-thirds reported that that this disorder has had a negative effect on their friendships. Generalized anxiety disorders are the most common cause of workplace disability.

Treatment for GAD commonly includes medication, cognitive behavior therapy (CBT), talk therapy (psychotherapy), exposure therapy, and anxiety management; some of these treatments are used simultaneously. There is no single optimal treatment since what works for one patient might not be as effective for another patient. A combination of modalities is usually most effective.

If you or someone you know is struggling with Generalized Anxiety Disorder, Arista Counseling and Psychotherapy can help as we are able to provide a combination of treatments which have proven to be effective. 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

Click to access July%2015%20GAD_adaa.pdf

https://www.psychologytoday.com/us/conditions/generalized-anxiety-disorder

 

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

 

 

Anxiety and Politics

See the source image

by: Sam Matthews

The political climate in today’s day and age could certainly cause fear and anxiety for anyone in America. It is important to note that both fear and anxiety activate one’s attachment system. Your attachment system has evolved in order to allow you to develop strong relationships with your parents and peers, not engage in modern day political battles. This is because the system cannot differentiate between actual physical threats and imagined ones, causing it to be triggered when thinking about politics. We most commonly think about attachment figures being real people who we come into physical contact with, but a political figure or institution can easily become a symbolic attachment figure. This political figure can psychologically come to represent something that can protect you from threats and decrease your anxiety. When attachment styles are activated, they can bring out the worst in the part of the population that is insecurely attached, which in America is 45%. This situation has the potential to damage relationships, and could even bring on even more destructive behaviors. As mentioned, these problems trigger the attachment systems, causing the conflict to become more than just a superficial argument about politics, but an emotional issue, which cannot be solved through rational arguments and debates. It is normal to have anxiety about what is to become of the country you reside in, but the best recommendation one could give is to take a step back and all time to pass, and yourself to explore.

 

Sources:

https://www.psychologytoday.com/us/blog/the-freedom-change/201811/attachment-theory-elections-and-the-politics-fear

https://www.sharp.com/health-news/how-stress-over-politics-affects-your-health.cfm