Anxiety and Bullying

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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

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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

When Fears Become Extreme

By Diana Bae

With Halloween coming next month, spooky decorations and fake spider webs begin to appear and spark a little bit of fear in all of us, as we prepare for the scares to come. Feeling afraid or scared is normal because fear allows us to be alert and safe in case of possible danger. However, when the fear persists and starts intruding our lives, it may be a phobia.

Phobias are severe fears that cause persistent anxiety over certain circumstances or objects. They can come at small to large intensities and cause distress. Some common phobias include animals (spiders), social situations (public speaking), and even the natural environment (heights).

However, there is a chance that these phobias will develop into a harsher anxiety disorder and cause distressing panic attacks. Trying to handle phobias without assistance can backfire and produce stress and anxiety due to avoidance. Thus, with the proper treatment, a person can learn how to face the phobias and reduce their feelings of panic and fear.

Arista Psychological and Psychiatric Services understands the difficulty of overcoming phobias alone and, thus, are dedicated to help those seeking for treatment. If you or someone you know would like to set up an appointment for our counseling services, contact us at our offices in Paramus, NJ (201) 368-3700 or in Manhattan, NY (212) 996-3939. Also, please visit our website https://www.counselingpsychotherapynjny.com/

 

Sources

https://www.apa.org/helpcenter/anxiety

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

https://www.psychologytoday.com/us/blog/think-act-be/201603/where-do-fears-and-phobias-come

Image Source: https://www.nytimes.com/2017/10/26/well/live/fear-anxiety-therapy.html

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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Obsessive Compulsive Disorder

Obsessive Compulsive Disorder

Obsessive Compulsive Disorder

By: Julia Keys

Obsessive Compulsive Disorder (OCD) has been normalized and trivialized in society as a need for everything to be meticulously clean and organized when in reality it is a serious psychological disorder that can cause significant distress for those who have it. Obsessive Compulsive Disorder is characterized by a pattern of uncontrollable reoccurring thoughts, known as obsessions, which can only be remedied by certain behaviors, known as compulsions. People with OCD are commonly depicted as being ultra-neat or afraid of germs, which is true for some people, but the way OCD expresses itself is unique to the individual.

There are several common themes that psychologists have determined when treating patients with Obsessive Compulsive Disorder. One common theme is contamination. This may take on the literal meaning in which an object or place can be perceived as dirty, but it can also mean that contact with a person, place, or object will cause great harm. Checking is another typical behavior. One may check if something is safe or turned off over and over again. Checking can also express itself in the need for constant verbal reassurance, so a person with OCD may ask the same question over and over. People with OCD may be worried that they will suddenly lose control and hurt themselves or someone else. In efforts to qualm these obsessions, one may avoid certain places or people or have plans set in place that could prevent them from acting out these thoughts.

Common obsessions may include, but are not limited to:

  • Fear of germs or contamination
  • Unwanted forbidden or taboo thoughts involving sex, religion, and harm
  • Aggressive thoughts towards others or self
  • Having things symmetrical or in a perfect order

Common compulsions may include, but are not limited to:

  • Excessive cleaning and/or handwashing
  • Ordering and arranging things in a particular, precise way
  • Repeatedly checking on things, such as repeatedly checking to see if the door is locked or that the oven is off
  • Compulsive counting

When reading these lists one might think that these behaviors are relatively typical, however people with OCD spend an excessive amount of time and effort thinking about obsessive thoughts and preforming rituals to control them. A person with OCD may feel brief relief after preforming a compulsion, but they do not feel pleasure from such acts. Obsessions and compulsions are very difficult to control and may result in significant problems in one’s daily life or relationships.

If you or someone you know is struggling OCD, 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.nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocd/index.shtml

https://www.psychologytoday.com/us/blog/living-ocd/201107/the-many-flavors-ocd

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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: What Happens When You Stop Taking Your Medication

Antidepressants: What Happens When You Stop Taking Your Medication

Antidepressants: What Happens When You Stop Taking Your Medication

By: Julia Keys

Anti-depressant discontinuation syndrome occurs when a person suddenly stops taking their anti-depressants. Sometimes individuals decide to go off of their medication because of side effects such as weight gain, nausea, or sexual dysfunction. Another common reason why individuals stop their medication “cold turkey” is because they may feel as if the medication has changed their personality. Anti-depressants are not meant to change one’s personality, but sometimes they can cause fogginess or fatigue which can make the patient feel “not like themselves” or “out of it”. However, abruptly going off medication can cause symptoms that are more painful and severe than the side effects one might feel on an anti-depressant that is not right for them.

The effects of anti-depressant discontinuation can be felt as early as a couple hours to as late as a couple days after missing a dose depending on the type of anti-depressant. Symptoms are typically ameliorated within six to twenty four hours after taking the missed dose.

Symptoms of Anti-depressant discontinuation syndrome:

  • Nausea
  • Chills
  • Headache
  • Vomiting
  • Problems with balance
  • “brain zaps” or “brain shocks”, the sensation of a jolt of electricity running through the head, neck or limbs
  • Anxiety

Unlike illegal drugs, phasing out of anti-depressants can be a painless process if done correctly. In order to go off of anti-depressants successfully, one must slowly wean themselves off the medication with the help of a psychiatrist or psychiatric nurse practitioner.

Tips to prevent or minimize anti-depressant discontinuation syndrome:

  • NEVER stop taking medication without talking to your doctor
  • Follow your doctor’s directions exactly when going off your meds. If you start to feel any of the symptoms of anti-depressant discontinuation syndrome contact your doctor as soon as possible
  • Set a reminder on your phone or computer to take your medication each day
  • Always keep your medication in the same place
  • Make sure to keep on top of your doctor’s appointments by putting them in a calendar so that you will never run out of medication by accident

If you are struggling with mental health issues and are in need of treatment, 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.aafp.org/afp/2006/0801/p449.html

https://www.aafp.org/afp/2006/0801/p449.html

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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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Shyness and Introversion

Shyness and Introversion

By Crystal Tsui

We all know someone who prefers to stay in rather than go out and party or someone who barely talk in a group setting. We may call them shy, quiet, or maybe socially awkward. But they may just be an introvert. Introversion and shyness are often times used together. However, shyness revolves around the fear of negative judgment while introversion is the preference for quiet, minimally stimulating environments. So it is possible for a person to be a shy extrovert, where the individual is afraid to speak up, fearing negative judgment, more so than exhausted in a certain social situation.

Despite the difference, there is also an overlap between shyness and introversion, e.i. many shy people are introverted. Some people are born with “high-reactive” temperaments that predispose them to both shyness and introversion. A shy person may become more introverted over time, motivated to discover the pleasures of solitude, other minimally stimulating social environments, and to move away from judgments. On the other hand, an introvert may become shy after continually receiving the message that there’s something wrong with them.

There’s a shared bias in our society against both shyness and introversion. Neither trait is welcomed in our society because studies have shown that we rank the fast and frequent talkers as more competent, likeable, and even smarter than slow and quiet talkers.

Here are 5 ways introverts can spend time that is deeply fulfilling and socially connected:

  1. Reading. Books transcend time and place. Studies have shown that reading fiction increases empathy and social skills.
  2. Enter a state of “flow” by doing work or a hobby that you love. Flow is the transcendent state of being, in which you feel totally engaged in an activity. People in flow don’t tend to wear the broad smiles of enthusiasm. When you watch them in action, the words “joy” and “excitement” don’t come to mind. But the words “engagement,” “absorption,” and “curiosity” do.
  3. Keep an informal quota system of how many times per week/month/year you plan to go out to social events and how often you get to stay home. This way you can plan which parties or get-togethers you can truly enjoy and which you don’t. So you are less likely to drive yourself mad thinking you should’ve stayed home.
  4. Have meaningful conversations.
  5. Spend time and show affection to the ones you love, whose company is so dear and comfortable that you feel neither over-stimulated nor anxious in their presence.

If you or someone you know is dealing with social anxiety or suffering from a disruption of their social life, 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.quietrev.com/wp-content/uploads/2015/05/QR_ebookMay8-2015.pdf

https://www.nytimes.com/2012/01/15/opinion/sunday/the-rise-of-the-new-groupthink.html?_r=0

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