Depression: Identifying Signs of Depression in Someone Close to You

Identifying Signs of Depression in Someone Close to You

By Fiona McDermut

            Understanding the signs and symptoms of mental illness is not a simple task, especially when it comes to someone you care about. Even when the signs of mental illness are identified, it is difficult to decide what to do next. The COVID-19 pandemic prompted a 25% increase in cases of depression in the world. In a time of great distress for many, it is vital to look out for the people we love.

            If you suspect that someone you know may be struggling with depression, it is crucial to look out for the following signs:

  • Loss of interest
  • Extreme loss or increase in appetite
  • Fatigue
  • Hopelessness
  • Suicidal thoughts or behaviors
  • Irritability
  • Changes in sleep patterns
  • Physical symptoms such as headaches, stomachaches, and sexual dysfunction

            Some of these signs may seem obvious, but many who struggle with depression may cut themselves off from the social world. This makes it difficult to detect the warning signs of mental illness. Therefore, it is important to check in on the people you care about, especially during a time in which the majority of social interactions have been cut off, limited, or turned to strictly virtual contact. If someone you know is struggling with symptoms of depression, it may be necessary to seek medical help. There are many causes of depression, many types of depression, and many treatment methods. A mental health care professional will be able to identify the key factors that go into developing a treatment plan that works best for each individual in need.

The following methods are used to treat people with depression:

  • Cognitive Behavioral Therapy
  • Hypnosis
  • Antidepressant medication
  • Brain stimulation therapy

            Admitting that one needs help is not an easy task. Therefore, providing support, comfort, and assistance for a loved one can make a tremendous difference in one’s mental health outcomes. Simply having one strong social connection has been shown to have multiple health benefits. Most people are not trained in the treatment of depression, but everyone is capable of spending time with those they love and guiding them through the process of recovery.

If you or someone you know is struggling with 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/

Sources:

https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide#:~:text=COVID%2D19%20pandemic%20triggers%2025,of%20anxiety%20and%20depression%20worldwide

https://www.healthline.com/health/depression/recognizing-symptoms#lostinterest

Image Source: https://ggsc.s3.amazonaws.com/images/uploads/How_Friends_Help_You_Regulate_Your_Emotions.jpg

The Link between Alcoholism and Depression

By Jenna Chiavelli

Alcoholism and Depression

Alcohol Use Disorder is characterized by disordered drinking that leads to significant distress and changes in behavior. One of the strongest predictors of alcoholism is family history, as genetics can attribute to one’s predisposition to alcoholism. Underlying psychological disorders contribute to alcoholism as well as people turn to substances to numb pain. Socially speaking, one’s environment can lead to alcoholism if the environment favors a culture of drinking.

Addiction is a controlling disease and when mixed with depression, treatment can become even more complex. Depression is a common co-occurring disorder with at least 30%-40% of alcoholics experiencing a depressive disorder. Depression is a mood disorder which can generate persistent feelings of sadness, worthlessness, and pessimism, disrupting everyday life. The combination of addiction and depression is especially harmful as the conditions fuel each other.

Depression Contributing to Alcoholism

Substances like alcohol can be appealing to those suffering from depression, as alcohol’s sedating effects offer an escape from overwhelming feelings of sadness. This form of self-medication can temporarily relieve depressive symptoms, but this is not a permanent solution. Over time, the feelings of sadness linger despite the sedating effects of alcohol, leading those struggling with depression to increase their alcohol intake to suppress the pain. This dangerous cycle contributes to a substance abuse disorder.

Alcoholism Contributing to Depression

Alcohol releases neurotransmitters in the brain, resulting in the euphoric feeling of being drunk. As alcohol users consistently chase this high, the copious amount of alcohol is simultaneously limiting the brain’s ability to sustain neurotransmitters at normal levels. This disruption in the nervous system impacts one’s mood; therefore, when there is a reduction of neurotransmitters a person may feel symptoms of depression. Additionally, alcohol increases the duration and severity of depressive episodes and increases the likelihood of suicidal thoughts. 

Drinking alcohol also alters behavior and fuels acts of impulse. The consequences of one’s drunken actions may be overwhelming leading to feelings of sadness and shame. Heavy drinking can disrupt relationships and interfere with work, damaging one’s social sphere. The constant ramifications from drinking can easily contribute to depression as well.

Treatment for Co-Disorders

In some cases, removing alcohol from the equation is enough to relieve symptoms of depression. In other cases, therapy, rehabilitation, and medications may be necessary. It is important to note that medication alone will not effectively treat co-occurring depression and addiction. Therapy is required in order to understand what originally contributed to one’s depression/addiction. Gaining a deeper understanding to one’s emotions and history could help prevent a relapse in the future. Additionally, confiding in others and sharing stories of similar nature reminds people that they are not alone in their struggles, fostering a sense of community. With a little bit of help, it is possible to break the dangerous cycle of alcohol and depression.

If you or someone you know is seeking therapy for depression and/or 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.addictioncenter.com/alcohol/alcohol-depression/#:~:text=At%20least%2030%25%2D40,of%20the%20symptoms%20of%20depression.

https://www.psychologytoday.com/us/blog/addiction-recovery/202102/healing-depression-and-addiction

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

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Maternal Mental Health Month: Postpartum Depression

Maternal Mental Health Month: Postpartum Depression

By Fiona McDermut

As we come to the end of Maternal Mental Health Month, it is important to recognize postpartum depression which affects one in ten new mothers. Postpartum depression is characterized by significant depressive symptoms following child birth. This is caused by the dramatic drop of hormone levels in the mother. Unfortunately, nearly half of these women are never diagnosed and therefore, never properly treated.

It is crucial to be able to identify what is normal after child birth. It is completely normal to have occasional bouts of sadness due to fluctuation in hormones, also known as “baby blues”. Many women also experience anxious thoughts as a new mother. This is frequent because of the newfound responsibility of being a parent combined with excitement and restlessness. Although these symptoms are not pleasant, they are extremely common and can go away on their own or with simple self-help techniques. Some easy self-help techniques include exercise, listening to music, exposure to morning light, and even physical touch such as more frequent hugs!

On the other hand, worrisome results of childbirth include major depressive disorder (MDD) and psychosis. Although the symptoms of MDD (sadness, lack of pleasure, loss of interest, etc.) are similar to normal feelings after childbirth, if these symptoms persist for more than two weeks, it is no longer something to brush off.

The two main treatments of postpartum depression include psychotherapy and anti-depressant medication. Cognitive behavioral therapy (CBT) and interpersonal therapy (IPT) have shown to be the most effective methods of psychotherapy treatment. Many find that the most effective results come from a combination of psychotherapy and medication. While there are many options for treatment, the best course of action is to get new mothers who are suffering from these symptoms in touch with a psychiatric professional as soon as possible, and to work with the doctor directly to select the most effective treatment plan for each individual.

If you or someone you know is struggling with postpartum 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/

Sources:

https://www.psychologytoday.com/us/blog/demystifying-psychiatry/201707/possible-new-treatment-post-partum-depression

https://www.psychologytoday.com/us/blog/call/201903/post-partum-depression-what-it-is-and-how-it-is-treated

https://www.psychologytoday.com/us/blog/call/201701/depression-psychiatrist-s-recommendations-self-care

Image Source: https://www.google.com/imgres?imgurl=https%3A%2F%2Fres.cloudinary.com%2Fdyw8mv3b0%2Fimage%2Fupload%2Fc_fill%2Cg_face%2Cq_85%2Cw_710%2Ch_355%2Cf_auto%2Fv1%2Fnews%2F2021_04%2F2561982d-c1d3-4f7d-9529-84b7f2c44e74_xjw2id.jpg&imgrefurl=https%3A%2F%2Fwww.politicshome.com%2Fthehouse%2Farticle%2Fmaternal-mental-health-week&tbnid=t29_QLahacsWRM&vet=12ahUKEwj0tsm7rPj3AhWKrnIEHZiGDJoQMygOegUIARD2AQ..i&docid=VcXxB5YbuIGLWM&w=710&h=355&q=maternal%20mental%20health&ved=2ahUKEwj0tsm7rPj3AhWKrnIEHZiGDJoQMygOegUIARD2AQ

Insomnia: How Depression Is Related to Insomnia

By Kim Simone

Symptoms of insomnia occur in approximately 33% to 50% of the adult population and undoubtedly affect a variety of areas of an individual’s life. In addition to a complaint of dissatisfaction with sleep quality or quantity, individuals may have difficulty falling asleep, difficulty maintaining sleep, and early-morning awakening with an inability to fall back to sleep. These difficulties may occur at least 3 nights per week and be present for at least 3 months.

Oftentimes, these sleep disturbances affect various parts of an individual’s daily life. As a result of poor sleep, individuals struggling with insomnia may display difficulties behaviorally, socially, academically.

Those struggling with depression oftentimes present with symptoms of insomnia, as the condition may influence their quality and/or quantity of sleep. Depressive symptoms often influence an individual’s quality of sleep and how much they sleep.

On the contrary, those struggling with insomnia oftentimes present with symptoms of depression. Since feelings of depression may cause individuals to lose interest in their daily activities and withdraw from those closest to them, therapy is often the treatment of choice to alleviate the depressive symptoms that result from a lack of quality and quantity of sleep.

Cognitive Behavioral Therapy can be useful in the treatment of insomnia. CBT-I is a form of CBT specifically aimed in treating the sleep condition. It concentrates on the specific thoughts and behaviors that disrupt sleep and helps in reframing the negative thoughts that may be associated with concepts related to sleep, such as “bed” and “sleep”.  As a result of CBT, anxieties related to sleep may be lessened, therefore, lessening the prevalence of insomnia.  

Sufferers of insomnia may need to speak to their therapist weekly over the course of two to three months to see an improvement in the quality and quantity of their sleep. As a result, symptoms of depression may be lessened, which may further improve the quality and quantity of their sleep.

If you or someone you know is struggling with insomnia and is seeking therapy, 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://my.clevelandclinic.org/health/diseases/12119-insomnia#:~:text=They%20affect%20up%20to%2070,at%2010%25%20to%2015%25.

https://www.psychologytoday.com/us/conditions/insomnia

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Psychotherapy: Benefits of Rational Emotive Behavior Therapy (REBT)

By: Jasmyn Cuate

Rational emotive behavior therapy (REBT) is a type of cognitive behavioral therapy (CBT) that focuses on helping people recognize and change negative thinking patterns into positive, healthier ones. This method is an action-oriented approach helping to overcome any psychological problems or mental distress. The goal of REBT is to help people respond rationally to situations that would cause stress, depression, or other negative feelings. How does it work?

The ABC model is one concept of REBT. The model suggests that we may blame external situations for our unhappiness and it is our interpretation of these situations that truly causes the psychological distress. ABC stands for:

  • A: Activating event, when something happens in your environment
  • B: Belief, describes your thoughts about the situation
  • C: Consequence, which is your emotional response to your belief

With REBT, your therapist will help you learn how to apply the ABC model in your daily life. Your therapist may help you identify the activating event before encouraging you to figure out which belief led you to your negative feelings. Once you’ve identify the underlying issue, your therapist will work with you to change those beliefs and your emotional response towards the issue. Before changing your belief, a process called disputation takes place where your therapist will challenge your irrational beliefs using direct methods such as asking questions which causes you to re-think or have you imagine another point of view that you may have not considered before. REBT can help with Anxiety, Social anxiety disorder, distress, Depression, Disruptive behavior in children, Obsessive-compulsive disorder (OCD) and Psychotic symptoms.

Benefits of REBT:

  • Reduce feelings of anger, depression, anxiety, and distress
  • Improves health and quality of life
  • Better social skills and school performance

REBT helps you understand that you are worthy of self-acceptance no matter what even if you or others are struggling; there is no need for shame or guilt because everyone makes mistakes and it’s normal to feel some discomfort. REBT gives insight that others are also worthy of acceptance even if their behavior involves something you don’t like. Overall, REBT helps you have a healthy emotional response on learning from a situation and moving on. This allows you to understand that negative things will sometimes happen in life therefore there is no rational reason to always expect it to be positive when faced with a situation.

If you or someone you know is seeking for cognitive behavioral therapy or rational emotive behavior therapy, 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.verywellmind.com/rational-emotive-behavior-therapy-2796000

Depression: How Does it Affect Relationships

By: Jasmyn Cuate

Depression is one of the most common types of mental illness that Americans struggle with each day affecting approximately 1 in 6 Americans. Depression is characterized by feelings of sadness, emptiness, or hopelessness, irritability, angry outbursts, or low frustration tolerance, loss of interest in or ability to enjoy usual activities, sleep disturbance, fatigue and lack of energy, appetite disturbance, agitation, anxiety, feelings of worthlessness and guilt, difficulty concentrating, remembering things, making decisions, recurring thoughts of death, and thoughts of suicide.

Many individuals struggling with depression describe it as living in a heavy fog where you lose clarity about your life, start to have self-doubt, changing the way you view friends, family, and partners as well as how you think they view you.

Although many relationships experience problems, a partner dealing with depression or trying to help their partner overcome depression, may find themselves having more challenges to their relationship. Depression can cause overwhelming emotions such as detachment, distrust, and vulnerability. It can cause the partner to pay little attention to the other partner, be less involved, more irritable, start arguments, and have trouble enjoying time together. Factors such as high levels of conflict, lack of communication, difficulty resolving problems, and withdrawal can lead to depression.

Untreated depression can cause a cycle of self-destructive behaviors that can tear relationships apart. Research has shown that when one member of a couple has depression, there is an impact on the well-being of the other partner as well. In fact, BMC Public Health has found that partners of those with mental illnesses, show signs of anxiety and depression themselves.

If you or someone you know is seeking therapy for depression or experiencing relationship problems due to 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/

Sources: https://www.psychologytoday.com/us/basics/depression/signs-depression

https://blogs.scientificamerican.com/mind-guest-blog/the-warning-signs-that-depression-is-affecting-your-relationship/

Mindfulness: Its Effects on Anxiety and Depression

Mindfulness: Its Effects on Anxiety and Depression

By: Stacey Rodriguez

Mindfulness, derived from Buddhist teachings, is a practice which fosters introspective awareness. It’s main principles consist of actively experiencing the present moment, as well as practicing radical acceptance. Radical acceptance is a distress tolerance skill, which is implemented by openly recognizing thoughts and experiences without the tension of subjective or negative perception. Central facets of radical acceptance include self compassion and validation. This perspective emphasizes defusion, which is the process of separating the mind from its thoughts; the act of perceiving oneself as the observer of one’s thoughts, rather than identifying with them, allows individuals to healthily process emotions while remaining grounded and rational. Mindfulness is a defining feature of several modern therapeutic approaches, such as dialectical behavioral therapy (DBT) and mindfulness based cognitive therapy (MBCT). DBT is a form of cognitive therapy, in which the approach focuses on recognizing maladaptive behavioral patterns and core beliefs. Similarly, MBCT uses cognitive behavioral therapy supplemented by mindfulness meditative practices, in order to help individuals become aware of their thoughts and feelings all while avoiding the loop of negativity. 

Practicing mindfulness has proven to have an abundance of promising effects on the mind and body. Overall, it has shown to significantly reduce anxiety and depression. Methodical data suggests that the practice influences stress pathways, and even modifies structure and activity in regions associated with attention and emotion regulation in the brain. Additionally, studies have found mindfulness to have the same moderate effect on treating depression as does medication, as well as moderate effects on anxiety and pain. 

Some mindful activities include:

  • Journaling
  • Practicing breathing techniques
  • Mediation
  • Yoga

If you or someone you know is seeking therapy for 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/

Source:https://www.apa.org/topics/mindfulness/meditation#:~:text=Researchers%20reviewed%20more%20than%20200,%2C%20pain%2C%20smoking%20and%20addiction.

https://www.apa.org/monitor/2015/03/cover-mindfulness

Image source: https://news.harvard.edu/gazette/story/2018/04/harvard-researchers-study-how-mindfulness-may-change-the-brain-in-depressed-patients/

Munchausen’s Syndrome

By Charlotte Arehart

Munchausen’s syndrome is a factitious disorder where the individual continuously pretends to have various ailments and illnesses to seek medical attention for them. There are several other versions of Munchausen’s syndrome, including Munchausen through proxy as well as Munchausen through the internet. Munchausen’s syndrome is a mental illness that often comes along with other mental difficulties such as depression and anxiety.

Since Munchausen’s syndrome is a factitious disorder, it can be difficult to diagnose sometimes. After all, the patient is likely to be lying about their symptoms and illnesses. There are a few things that may hint that a patient has Munchausen’s syndrome, such as inconsistent medical history, constantly changing or unclear symptoms, predictable relapses, extensive medical knowledge, new symptoms after a negative test or undesired test results, symptoms are only present when the patient is being watched or is near people, and seeking treatment in many different places.

Many times in the news we hear about cases of Munchausen’s syndrome by proxy, which is when a caregiver or parent pretends that their child is afflicted by ailments. There are many famous cases of Munchausen’s syndrome by proxy, such as the case of Gypsy Rose Blanchard. In cases of Munchausen’s syndrome by internet, the individual attends online support groups pretending to be afflicted with the struggle that those who are attending the meetings are actually experiencing. This could be either to mock those who are attending, or simply for attention.

It is important that medical staff keeps an eye out for those who may be experiencing Munchausen’s Syndrome, since it can be difficult to spot. Those who are suffering from Munchausen’s Syndrome or Munchausen’s Syndrome by proxy should seek mental health treatment as soon as possible.

If you or someone you know is struggling with Munchausen’s syndrome, 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/mental-health/munchausen-syndrome

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3554979/

https://10faq.com/health/munchausen-syndrome-symptoms/?utm_source=7017173049&utm_campaign=6449781305&utm_medium=78641056298&utm_content=78641056298&utm_term=munchausen%20syndrome&gclid=CjwKCAjwieuGBhAsEiwA1Ly_nQk9C1zizAwKaVlu7DhBKde8bnBOPK7v4QhwG7rYBc-ZZj3av-254BoCzqAQAvD_BwE

Image Source: https://healthproadvice.com/mental-health/An-Understanding-of-Munchausen-Syndrome

Burnout; what it is and how to prevent it

By Katie Weinstein

When push comes to shove, stress becomes burnout. This can lead to detrimental effects on our physical and mental health, so it is important to recognize when burnout is beginning to occur. Burnout is a gradual process that is defined as an extended period of stress and exhaustion that feels like it isn’t improving. Some signs of burnout are losing interest and motivation to a point in which you become disengaged, which can cause a cynical and resentful attitude. Burnout also affects physical health, causing changes in appetite and sleep and frequent headaches.

The causes of burnout include work, lifestyle, and personality traits. Lack of recognition in a chaotic or high pressure environment can make someone more susceptible to burnout. Some ways to improve work related burnout are to outsource or share responsibilities and to set boundaries for off times such as not checking email. Another cause of burnout can be caregiver burnout, since it can be very tiring to care for a child. It’s important to remember that it does not make you a bad parent or friend to ask for help when you need it. Everyone needs a break. Additionally, a perfectionist attitude and pessimistic view on things may lead to burnout, it is important to recognize when burnout is beginning so that you can practice stress managing techniques and find time to do things that you enjoy to prevent burnout. 

Knowing the difference between a burnout and being overly stressed is essential for mental health. It is important to limit contact with negative people and reach out to supportive friends and family in order to shape a more positive attitude and prevent burnout.

If you or someone you know is experiencing burnout or high levels of stress, 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.psychologytoday.com/us/basics/burnout

Depression and Humor

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