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Anxiety: Generalized Anxiety Disorder – Chronic Worry

GalleryJudy Gurfein Leave a comment

Anxiety: Generalized Anxiety Disorder – Chronic Worry

By: Michelle Cocone

Do you ever find yourself worrying about everything all the time? You find that you can’t seem to find a way to let go, the worries always get in the way. If you are experiencing the following symptoms then you may have generalized anxiety disorder.

Generalized anxiety disorder is when you have immense worry and anxiety which affects your everyday life. Not to be confused with worrying because everyone worries about things or events occurring in their life. The difference is that one knows how to let it go or even worry about it for a bit and move on. For those experiencing generalized anxiety disorders, they don’t have a way of letting it go; it’s all they are constantly thinking about.

It may sound like:

What if I can’t get my laundry done? What if I can’t find a job? Will I be able to pay the bills on time? What if I fail in school? What if I get rejected? What if people don’t like me?

Notice how many of these worrisome are “what if” questions. It could be that you are worrying about situations/problems that haven’t yet occurred. This is one of the symptoms of this anxiety disorder- you fear the unknown which makes you worry constantly. You’ll find that you won’t be able to relax. For example, many students worry about picking and starting college. People with this disorder can also find themselves to be indecisive because they are scared to make the wrong choice.

What if I pick the wrong university? What if I fail out of my classes? What if I don’t like the people there? What if it’s too hard for me to manage?

At the end of the day we are human, we all make mistakes. We can’t be perfect all the time. In order to continue growing and be healthy, we have to sometimes make the wrong choices and learn from them. Our mistakes are what help us progress. If we are constantly worrying, then we can’t go anywhere, we’re stuck. Other symptoms you might be experiencing are: constant fatigue, muscle aches, overthinking, unable to relax, and irritability.

Generalized anxiety disorders in children are expressed differently than in adults. Children worry about being accepted, having good grades, being good at sports, making friends, being included in social outings, trying to make everything perfect, and seeking approval from their parents. This affects their mental health and everyday life routine.

Generalized anxiety disorder in adults, is more severe. Adults tend to worry about being financially stable, buying a house, not having credit card debt, having good credit, finding a good job, finding a romantic partner, and starting a family. Anxiety can be overwhelming, however. We have to remember that it’s not normal to chronically worry all the time. It’s really unhealthy and leads to poor mental health. Worrying about everything won’t make the situation better. It might actually worsen your health.

If you or someone you know is struggling with generalized anxiety 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 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/

References

Generalized anxiety disorder (GAD). Johns Hopkins Medicine. (2024a, April 16). https://www.hopkinsmedicine.org/health/conditions-and-diseases/generalized-anxiety-disorder

U.S. Department of Health and Human Services. (n.d.-a). Generalized anxiety disorder: When worry gets out of Control. National Institute of Mental Health. https://www.nimh.nih.gov/health/publications/generalized-anxiety-disorder-gad


Anxiety about starting College: Getting over Anxiety as a Freshman in College

GalleryJudy Gurfein Leave a comment

Anxiety about starting College: Getting over Anxiety as a Freshman in College

By: Michelle Cocone

Every young adult pursuing a higher education will go through college. Starting college can be scary; you become a freshman all over again. Young adults tend to get anxious when thinking of the process. It’s very normal to experience this feeling. This anxiety stems from the uncertainty of college, not knowing what or who to expect. They will question whether they will be accepted, make friends, balance their workload, and hopefully not get lost. These are useful tips to help ease the adaptation of college.

Every College Student Was Once a freshman                                                                        

  • You aren’t alone in this experience as every freshman feels anxiety
  • Use the anxiety and fear to your advantage, this can be a topic of conversation to make friends
  • Embrace “I am a freshman who can start from zero”, a clean slate
  • It’s okay if you don’t have a best friend right away
  • Take the time to build connections, these can be important for networking after college

Have a Support System

  • Talk to friends or family about your college experience
  • They can share advice if they have gone to college

Use a Planner

  • Balancing schoolwork can be easier if you have a planner
  • When you get your course assignment schedule, jot it down in your planner to stay ahead of assignment due dates
  • Highlight exam and midterm dates to accommodate studying time

Utilize Your Resources

  • Colleges have many resources to help the transition from high school to college
  • Colleges have academic support, such as tutors and study centers
  • Colleges have well-being support and someone to talk to about your anxiety or anything else you want to share
  • Look up your campus map to find directions to your classes
  • Talk to your professors. They are there to help you succeed.

Remember college isn’t only about getting a higher education; it’s a place where you can prepare yourself for your career. Allow yourself to be independent and make your own choices. Everything you do will help you grow as a person, not just academically. It can absolutely be terrifying starting college if you feel anxious or scared; seeking counseling can be a good first step to feeling secure.

If you or someone you know is struggling with anxiety about starting college, 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 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/

References

University of Fear and anxiety: How to pass your freshman year of college. Anxiety and Depression Association of America, ADAA. (2018, July 6). https://adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/university-fear-and-anxiety

How to Help Children Cope with Grief and Loss

GalleryJudy Gurfein Leave a comment

How to Help Children Cope with Grief and Loss

By: Josette DeFranco

A question you don’t hear enough but should be asked more is “What is grief?” Grief is the terrible pain that accompanies loss. Since grief is a reflection of our love, it can feel suffocating. There is no time limit for healing the pain that comes along with loss. Many individuals try to suppress their pain and agony causing them to feel guilt and stagnant. Many individuals may experience grief in short passes where the feeling of distress and sadness comes and goes. Meanwhile, others may experience grief for a long period, such as months or years. It’s important to remind yourself and others that you can grieve at your own pace.

In addition, children experience grief and loss in many different ways. Children are like sponges; they take in information through observation and learned behavior. Although they are young they have deep feelings and can understand their own emotions more than it is perceived. When children grieve it can be a confusing time for them and parents. Do you tell the truth? Or do you rationalize and give simple answers such as “Grandpa is just sleeping.” Being present with them allows you to grieve as well. When children see that their parents can be vulnerable and compassionate it allows them to express themselves and be who they really are.

Here are a couple of ways to help children cope with grief:

  • You can tell children the truth, even though you might not include all the specific information. Mentioning to them that Grandpa is sleeping may cause them to feel afraid to go to sleep or telling them he is in heaven may make them pack their belongings and find heaven. Be clear, honest, and simple.
  • Allow them to ask questions. You can’t protect them from the truth but you can give them your empathetic support and love.
  • Attending the funeral or keeping children home. Ask your child and allow them to decide. If they say yes, have someone who will be present with them and can keep them occupied in case being around sad adults gets overwhelming. If they say no, you can offer another way to remember or honor the person such as showing pictures or lighting a candle.
  • Give reassurance.

If you or someone you know is struggling with 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 https://aristapsychiatrypsychotherapy.com/

Sources:

https://www.psychologytoday.com/us/blog/playful-parenting/202301/how-to-help-children-cope-with-death-and-grief

https://www.psychologytoday.com/us/blog/tales-of-grief/201903/when-children-grieve

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

Body Dysmorphia: How TikTok Impacts Self Image

GalleryJudy Gurfein Leave a comment

Body Dysmorphia: How TikTok Impacts Self Image

By Erika Ortiz

            A new social media app called TikTok emerged and swept generations because of its easy use, likability, and relatability created by other users or creators. TikTok is used like a break from stressors in life since it can have a variety of entertaining and funny videos. The TikTok algorithm determines your perception and how you choose to “respond” to each video or comment you see and scroll past. TikTok has tons of videos, from cute cat videos to funny skits, serious world news, and even tips or “how to” for your everyday life. Since TikTok has gained massive popularity, it can be strikingly influential.  TikTok can also instill some negativity in your life.  Many videos go viral for the wrong reasons and are taken to a dangerous extremity. One type of TikTok video that always goes viral is known as, “What I eat in a day”. The creator documents all their meals throughout the day and some even calculate their calorie intake. Some creators claim it is to promote a “healthy lifestyle”, while others say it is solely because these types of videos happen to go viral and do well with their audience. Regardless, these kinds of videos seem to inflict the idea of having body dysmorphia or, ironically enough, an unhealthy eating style. Body dysmorphia or body dysmorphic disorder is a mental health condition in which people hyper-focus on their flaws and appearances to the point where they will never be “good enough” in their own eyes. Some of these videos show the over consumption of food, too few nutrients in each meal, or sometimes, too much food, and too much sugar and/or greasy foods. These videos have an alarming comment section. Users will comment something to the degree of, “Wow I eat too much”, or, “Maybe I should skip a meal or two.” As you scroll through these TikToks and come across a “What I eat in a day” or a video that promotes an unhealthy body image that makes you feel uncomfortable and/or negative about yourself, press report for “harmful activities”, then press the “not interested” option at the bottom right. Even if you do not necessarily feel that way, others still might, so it is best to do your part in preventing the spread or glorification of unhealthy lifestyles.

If you or someone you know is experiencing body dysmorphia and/or signs of an eating 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 https://www.counselingpsychotherapynjny.com

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

Anxiety in Athletes

GalleryJudy Gurfein Leave a comment

Anxiety in Athletes

By Fiona McDermut

            Anxiety disorders are quite common in recent times, and can interfere with completing simple daily tasks. One population in which anxiety disorders can be particularly concerning is student athletes. Student athletes experience a tremendous amount of pressure coming from multiple facets of life. This includes pressure to perform/compete well, pressure to attend athletic training daily, pressure to maintain a healthy/fit figure, and the pressure to keep up with academic assignments. Competition and a moderate level of stress have proven to be beneficial to performance in many circumstances, but the overwhelming stress that often results from being a student athlete can be debilitating and may impact success.

            Although athletes may be at an increased risk for anxiety disorders, they often find that their schedules are too busy to seek help. In order to perform physically to one’s fullest potential, mental health is just as important as physical health. Anxiety can cause both mental and physiological symptoms that can impact athletic performance.

These symptoms include:

  • Feeling powerless
  • Feeling weak or tired
  • Increased heart rate
  • Rapid breathing
  • Trembling

            While decreasing the level of competition and pressure for student athletes may be a lost cause, there are ways to help deal with the feelings of anxiety that accompany this. First and foremost, it is crucial to allow yourself to take a day off when the pressure becomes too overwhelming. Do something that makes you happy, or simply give your body and mind a day of relaxation. This is especially important if you are injured, or not feeling well mentally or physically.

            If feelings of anxiety persist, it can be helpful to seek therapy. Therapy sessions provide an outlet to share emotions, as well as a professional who can help to manage anxiety. Some of the main treatments for anxiety include Cognitive Behavioral Therapy, Psychotherapy, and medication (mainly SSRIs and antidepressants). A mental health professional will work with your personal needs to establish the most effective treatment plan.

If you or someone you know is struggling with 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.ncaa.org/sports/2014/10/8/mind-body-and-sport-anxiety-disorders.aspx

Image Source:

https://www.cnbc.com/2021/09/13/heres-impact-of-ncaa-letting-college-athletes-profit-off-their-marketability.html

Body Dysmorphic Disorder-Beautiful In Your Own Skin Month

GalleryJudy Gurfein 1 Comment

Body Dysmorphic Disorder-Beautiful In Your Own Skin Month

By Fiona McDermut

            In light of the start of “beautiful in your own skin” month, it is important to recognize that many struggle with body image satisfaction. Not all people look in the mirror and feel content with what they see. Even if those around you do not understand your body-related concerns, your feelings are totally valid and can be helped with treatment.

            Body dysmorphic disorder (body dysmorphia) is a mental illness characterized by a hyper fixation on perceived defects in one’s appearance. This interferes with day-to-day life because one may spend a large amount of time worrying or attempting to adjust the perceived flaw. These behaviors usually result in obsessive body comparison to others, avoidance of social interaction, and frequent negative body-checking (looking in the mirror repeatedly at disliked body parts). Unfortunately, many have associated their own happiness with how closely their bodies align with current beauty standards portrayed in the media. As one lets these thoughts progress, they can worsen, and possibly be a precursor to an eating disorder or other disorders associated with body dissatisfaction such as depression and obsessive compulsive disorder.

            While many believe that cosmetic surgery will fix their perceived flaws, research has shown that such surgeries do not improve psychological symptoms of body dysmorphic disorder. The first step to resolving the issue is recognizing that you have a warped view of what you look like. If you or someone you know experiences this, it can be very beneficial to seek psychological/psychiatric assistance. Professionals in the field will be able to decide the best way to treat these disordered thoughts. The most common treatment for body dysmorphia is cognitive behavioral therapy (CBT). Other possible treatments include hypnotherapy, exposure therapy, acceptance and commitment therapy (ACT), and the prescription of antidepressant medication in order to decrease the feelings of dissatisfaction.

            Working with a professional is important in situations like these, but it is still important to remind yourself that your perceived flaws are only noticed by you, and likely not those around you. Nobody is perfect, but with the constant pressure of modern media to be thin, our flaws often appear to be more apparent to ourselves than they are to others. The practice of mindfulness exercises may also help to focus your mind on what you have learned to love about yourself, and of course, do not be afraid to seek help when necessary.

If you or someone you know is struggling with body dysmorphic 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.psychologytoday.com/us/blog/the-couch/201507/whats-the-best-way-deal-negative-body-image

https://www.psychologytoday.com/us/blog/shrink/201409/how-stop-hating-your-body

https://www.sciencedirect.com/science/article/abs/pii/S1740144507000988

“My Appearance Is the Only Thing I Can Control.”

Image source: https://www.additudemag.com/adhd-related-body-dysmorphic-disorder/

Drug Consumption Rose During COVID-19

GalleryJudy Gurfein Leave a comment

By: Priya Desai

Coronavirus is a hard time for everyone and there has been a lot of adjusting to do. Many people turned to drugs and alcohol to deal with the stress, anxiety and depression that they were feeling. Due to this, there was an apparent increase in both quantity and how often people were using drugs during the pandemic. These coping mechanisms are only temporary and cannot fix the problems that people are actually facing.

Months after the pandemic started, there was a survey done in Florida to see how often drugs and alcohol are being used. Almost 80 percent of the participants reported using alcohol in the past month, over 35 percent reported using marijuana, and 10 percent of participants were using stimulant drugs. Along with this, overdoses have spiked since the pandemic began. The increase usage of drugs during the pandemic has occurred primarily among young adults. A few of the reasons for this are economic stress, boredom, general anxiety about the pandemic, fear of acquiring the virus, and loneliness.  With school being online and the stay-at-home act being in order, students had free time which resulted in them abusing substances. Instead of using drugs, people can find a hobby, whether it be painting, exercising, or baking. In addition, with classes being held virtual and jobs being lost due to the pandemic, young adults were worried and stressed. This resulted in an increased use of drug and alcohol in attempt to cope with the stress.

If you or someone you know is struggling with drug abuse caused by the pandemic 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/

Citations: https://www.psychologytoday.com/us/blog/social-instincts/202012/drugs-choice-in-the-era-covid-19

https://www.apa.org/monitor/2021/03/substance-use-pandemic

Image Citation: https://www.google.com/url?sa=i&url=https%3A%2F%2Fwww.therecoveryvillage.com%2Fmental-health%2Fstress%2Fsubstance-abuse%2F&psig=AOvVaw1hOPaFHRj0X49E6hcvbtEC&ust=1631200310612000&source=images&cd=vfe&ved=0CAsQjRxqFwoTCJC80e3U7_ICFQAAAAAdAAAAABAD

Vaping’s Tie to Mental Health

GalleryJudy Gurfein Leave a comment

    Vaping’s Tie to Mental Health

    By: Jaylyn Senise

    Vaping has become a recent craze, specifically within the teenage populations.   It has become more popular than even tobacco and marijuana. These vaping devices come in a range of different sizes and shapes, and the most popular of vapes include JUUL and different types of hookahs. Despite the admiration, vaping comes with a plethora of potential risks. The majority of these risks involve physical attributes such as lung disorders and general wellbeing. Oftentimes, this is all that is noticed, while the mental health detriments that become present with vaping are overlooked.

    Vaping devices contain nicotine which alters the brain pathway. The synapses, which are the brain cells connections, become formed abnormally due to the nicotine. According to an article written on the National Institute of Health (NIH) website, synaptic dysfunction has been found to be a “casual factor for neuropsychiatric diseases.”   In addition, because the nicotine content of vaping devices is significantly higher than the typical combustible cigarettes, it becomes easier to generate dependence on it.  Dependence to vaping has been found to be associated with impulsivity, mood disorders, anxiety, suicidality and depression; the effect is even higher with adolescent teens.  These devices also have long term effects on mental health. For those with mental health disorders, vaping can exacerbate them due to the interruption of the cerebral dopamine pathway. In turn, this heightens the depressive symptoms.

    Those who want to quit vaping should ask a healthcare professional for assistance. To manage nicotine withdrawal, the individual should build a quit plan to better organize and maintain a system, stay hydrated, get a consistent sleep schedule, and try to get support from friends and family. This will help keep the individual accountable. Quitting vaping may seem like a long and laborious process, but the negative health consequences that vaping incurs make the issue urgent.

    If you or someone you know is struggling with a nicotine addiction, 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.webmd.com/connect-to-care/vaping/what-is-vaping

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5793422/

    Vaping and mental health: What’s the connection?

    https://teen.smokefree.gov/quit-vaping/vaping-addiction-nicotine-withdrawal

    Image Source

    https://www.google.com/url?sa=i&url=https%3A%2F%2Fwww.slingshothealth.com%2Fblog%2F2019%2F04%2F02%2Fis-vaping-worse-than-smoking-the-facts-may-surprise-you%2F&psig=AOvVaw2ZjdYeeLqUE7KTb6ktmgBF&ust=1625928050216000&source=images&cd=vfe&ved=0CAoQjRxqFwoTCPjKt5ec1vECFQAAAAAdAAAAABAD

    Depression and Humor

    GalleryJudy Gurfein Leave a comment

    By Katie Weinstein

    Humor is not only used as a way to get a good laugh with friends, but as a coping mechanism to defuse a situation. Using a positive humor style is associated with good health outcomes, but using a negative humor style, such as self-deprecation, is linked to depression.

    It is important to know how to laugh at yourself, but it is also important to know when your self-deprecating has gone too far and is leading to depression. Some signs might be that you can’t take a compliment or that it is a reflex to use self-deprecating humor since this is indicative of low self-esteem. It is easy to justify self-deprecating humor as not wanting to sound too arrogant, but if you use it alone, this is a major warning sign since no one will be there to laugh at your jokes. Another sign might be that you start to actually believe what you’re saying. The point of self-deprecating humor is to make light of imperfections, not to validate insecurities. When you’ve gone too far with self-deprecating humor, the people around you might either tell you this or stop laughing at that type of humor since it makes other people uncomfortable.

    The relationship between self-depreciative humor and depression remains unclear as to which causes the other or if there is a cyclical effect between the two. It is possible that people who are depressed choose a self-deprecating humor style because they are attempting to cope with low self-esteem or it is possible that repetitive negative humor causes low self-esteem and depression. A third possibility is that genetic and environmental factors affect depression and negative humor styles.

    One way to stop using self-deprecating humor is to fight the urge to put yourself down when someone compliments you and just say thank you. Being cognizant of when you are using self-deprecating humor and the way the way that it makes you feel is important for helping you to stop using it.

    If you or someone you know is experiencing low self-esteem and or depression 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.psychologytoday.com/us/blog/humor-sapiens/201911/the-relationship-between-humor-and-depression

    https://www.talkspace.com/blog/self-deprecation-unhealthy/
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