Depression at Work

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Depression at Work

By Jessica Burgess

Trying to work while depressed can often feel pointless. Being productive is difficult enough without adding on a state of depression. When depression goes untreated, it can lead to a loss of productivity. Depressed workers are more likely to be away from work than non-depressed individuals and also are less efficient at work based on a national survey published in the Journal of the American Medical Association1. So do our jobs make us depressed? Or does our depression make us poor workers? Psychologists say yes and no.

Depression is not caused by our jobs, but our jobs can add to our depression. Depression is partially due to our hereditary predispositions2. To put it simply, some of the reason why we get depressed are due to the genes we inherit from our parents or grandparents. But not all people that inherit a risk for depression, end up depressed. Exhibiting depression may be due to environmental triggers, such as the workplace or other stressors.

As a result of certain triggers, many individuals exhibit depression which can have consequences in the work environment. In 2013, the leading cause of loss of productivity in the workplace was depression3. Some triggers that can lead to depression in the workplace are related to the workplace itself such as:

  • Work/life imbalance
  • Introvert/extrovert stress
  • Feeling trapped
  • Unclear guidance

Other causes may be more internal such as:

  • Guilt over being a working parent
  • Discomfort with those you work with3

Depression can limit how much we can get done at work and even how often we are at work. Similarly, work can trigger depression and make it worse.

If you believe you or someone you know is struggling with depression speak with one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists. Contact us at our Paramus, NJ or Manhattan, NY offices at (201) 368-3700 or (212) 722-1920 respectively to set up an appointment. For more information, visit http://www.counselingpsychotherapynjny.com/.

Sources:

https://www.everydayhealth.com/depression/depression-at-work-is-it-you-or-the-job.aspx

https://www.psychologytoday.com/us/articles/200306/depression-in-the-workplace

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Depression: Different Manifestations

By Zuzanna Myszko

Even though depression is seen as a single disorder, it can be characterized by a myriad of different symptoms. Two people who have both been diagnosed with depression may display completely contrasting feelings and behavior. In response, psychologists must attempt to tailor treatments to properly deal with the patient’s particular manifestation of depression.

People with depression are usually described as experiencing:

  • Sadness
  • Worthlessness
  • Fatigue

However, someone might outwardly display signs of aggression and anxiety while experiencing depression, which changes his or her therapeutic needs. Additionally, this brings up the issue of proper diagnosis. Clinicians must utilize interviews and standardized tests in order to determine the kind of symptoms the patient is experiencing, how many symptoms he or she has, and how long they have been present. These assessments also help the clinician see the extent to which the symptoms are impeding the patient’s day-to-day functioning, which is very important for treatment.

Some forms of diagnosis include:

  • DSM-5
  • Hamilton Depression Rating Scale (HAM-D)
  • Patient Health Questionnaire-9 (PHQ-9)

Tracking symptoms becomes important for the clinician to be able to accurately treat the patient. Usually, it becomes a process of trial and error, especially if medication is involved. However, the more accurate the tracking, the more pinpointed the treatment is because symptoms can be tackled individually. Neuroscientists and other mental health researchers are continuing to attempt to determine the underlying biochemistry of depression in order to eliminate some of the trial and error in treatment.

 

If you or someone you know is experiencing depression or depressive symptoms, speak with one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists. Contact us at our Paramus, NJ or Manhattan, NY offices at (201) 368-3700 or (212) 722-1920 respectively to set up an appointment. For more information, visit http://www.counselingpsychotherapynjny.com/.

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Source: https://www.psychologytoday.com/us/blog/7-billion-brains/201901/your-individual-depression

Seasonal Affective Disorder (SAD)

By: Erika Dino

Seasonal Affective Disorder (SAD)

What are the winter blues? During the winter, a portion of individuals start to become aware of their feelings of sadness or hopelessness, which can lead them to being unable to function in their daily lives. Seasonal affective disorder is a depression that occurs during particiular season. Not only can it happen in the winter, but during the summer as well. Most common ages for SAD to happen involve the ages 20 to 50.

Symptoms:

  • Feelings of depression
  • Craving more hours of sleep due to reduced energy
  • Weight gain
  • Feeling drowsy

Is there a treatment?

  • Medication
  • Psychotherapy
  • Maintaining a regular schedule
  • Exercising
  • Exposure to light (light therapy)
  • Healthy number hours of sleep

Seasonal Affective Disorder is more common in women. According to John M. Grohol, “With a little effort, the winter blues can be beaten.” Psychotherapy can help as a mental health professional can evaluate you and ask about your behavioral patterns. Talking about your feelings and emotions can help because identifying your negative thoughts can lead to learning positive approaches to change the winter blues feelings. Make your lifestyle brighter.

https://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/diagnosis-treatment/drc-20364722

https://psychcentral.com/lib/seasonal-affective-disorder/

Image: https://comps.canstockphoto.com/seasonal-affective-disorder-drawing_cp11824144.jpg

If you or someone you know is suffering from seasonal affective disorder please contact our psychotherapy offices in New York or New Jersey to speak with our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists to get a free phone consultation 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/.

Depression in Children: What are the Signs?

By: Sally Santos

In children the most common mental health disorder is depression. When a child is going through depression it may affect their mental and physical health. As mentioned in a Psychology Today article the symptoms “must also interfere with the child’s functioning in normal daily activities.” Since children are still young they are not able to communicate their feelings well to others. Children with depression can be helped that’s why it is important for parents, caregivers and teachers to recognize the signs of depression. Some of the symptoms are:

  • Angry outburst
  • Anxiety
  • Decreased in energy
  • Feelings of hopelessness
  • Lack of concentration
  • Weight loss
  • Insomnia
  • Refusal to go to school

According to the National Alliance of Mental Health “Once a young person has experienced a major depression, he or she is at risk of developing another depression within the next five years.”

Sources:

https://www.psychologytoday.com/us/blog/alphabet-kids/201009/20-signs-and-symptoms-childhoodteen-depression

https://www.psychologytoday.com/us/blog/alphabet-kids/201009/depressing-news-about-childhood-and-adolescent-depression

Image:

https://www.anxietymedications.net/childhood-depression-symptoms-and-signs-to-diagnose-stress-on-kids/

If you are a parent and are concerned about your child having depression call 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/

Suicide: Fighting Suicidal Thoughts

By: Sally Santos

If you are someone who is suffering with suicidal thoughts, you should be aware that most people that have attempted to commit suicide but did not succeed feel relieved that they did not succeed in ending their life. When things get tough sometimes your mind starts racing and you feel overwhelmed with emotions. Suicide doesn’t just happen on its own, it is led by many social risk factors some of them being:

  • Gender
  • Age
  • Marital status
  • Employment status
  • Lack of social support

Many people who have attempted to commit suicide will say that they were experiencing very intense feelings of hopelessness. They felt like they had lost control of their lives and that nothing is going to get better. But that is not true. In that moment it may feel hopeless but there are ways to help you feel better. You do not have to feel like you have to fight your battles alone. In order to steer away from those thoughts it is important to keep in mind a plan just in case your thoughts become too overwhelming. It is recommended to make a list of all the positive things that you have in your life such as:

  • Read a favorite book or listen to your favorite music
  • Write down positive things about yourself or the favorite aspects of your life
  • Try to get a goodnights sleep
  • Have a list of people you trust to call in case you want to talk

Always note that you can discuss how you have been feeling with a healthcare provider. They can provide you with the advice and help that you need in order to achieve a faster and healthy recovery. Lastly, as mentioned in an article in Psychology Today it’s important to “remember that you have not always felt this way and that you will not always feel this way”. The emotions and thoughts that you have now are temporary not permanent.

Article: https://www.psychologytoday.com/us/blog/hide-and-seek/201204/fighting-suicidal-thoughts

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If you or someone you know is thinking about suicide, contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, and 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, visit http://www.counselingpsychotherapynjny.com/.

 

Ever Feel Like a Fraud?

By: Stephanie Osuba

Despite your degrees, acclaims, and accomplishments, do you ever sometimes feel like you are an imposter? That you’ve been getting lucky or that you’re a fake in your profession and one day people are going to find you out? As it turns out, you aren’t alone. Many successful people feel this way and often have to step back and remember all the things they have achieved – Maya Angelou and Albert Einstein among these people! While there is no diagnosis or even proper name for this feeling in the DSM-5, there are countless of reports of this in psychology and psychotherapy literature. In fact, the first time the term “imposter syndrome” was used was in an article in 1978 by Drs Pauline R. Clance and Suzanne A. Imes who – after studying 150 educated, established, and highly respected women – found that they didn’t have an internal sense of success and found themselves to be “imposters.”

So what causes this “imposter syndrome” that befalls so many successful people? One reason could be that there is no real measure to success. There is always something more that you can do and regardless of how much success you’ve already had and you think you are content with, self-doubt can always creep in and say you haven’t done enough. Another reason could be “pluralistic ignorance,” which is believing something to be true without being able to prove or disprove it – usually involving unspoken or false beliefs about other people. For example, research has shown that all college students feel anxiety about school but the actual students think they are the only ones who feel that way and other people are having no trouble adjusting to college life. And lastly, talent can make us believe that we haven’t worked hard enough and don’t deserve the praise or success of what comes naturally to us.

Source: https://www.psychologytoday.com/us/blog/the-couch/201811/do-you-ever-feel-fraud 

If you or someone you know appears to be having issues with self-esteem or is suffering from anxiety, 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/

Bipolar Disorder: Cognitive Deficits of Which You May Not Be Aware

By Samantha Glosser

When you hear the term “bipolar disorder” your first thoughts are most likely about the cycle of elevated and depressed moods, of extreme highs and extreme lows. This is to be expected, as these states of mania and depression are hallmark features of bipolar disorder, and they are typically the symptoms highlighted by mainstream media. In mania, individuals exhibit symptoms of high energy, decreased need for sleep, feelings of euphoria, extreme irritability, and impulsivity. In a depressive state, individuals display symptoms of low energy, feelings of helplessness and hopelessness, avolition, and suicidal ideation.

Sometimes there can be more to bipolar disorder than just these symptoms. For some, after the onset of bipolar disorder symptoms, there is a marked decrease in cognitive capacity across a few different areas. Typical cognitive deficits reported with bipolar disorder include the following: difficulties with working memory, such as word retrieval, and executive functioning, such as problems with planning, prioritizing, and organizing behavior. Individuals also experience difficulties retaining information that was just presented to them and can even experience slowed thought processes. These adverse cognitive impacts appear at both polarities of mood. It is also important to distinguish between two types of cognitive deficits: mood-phase specific and enduring. Mood-phase specific cognitive deficits are typical to most individuals diagnosed with bipolar disorder, as these symptoms are only present during periods of mood intensity. Enduring deficits, on the other hand, will remain present even when an individual has sustained a period of partial remission or is at a baseline level of functioning (i.e., they are not experiencing mania or depression). Not everyone diagnosed with bipolar disorder experiences enduring cognitive deficits. Individuals with a history of higher acuity symptoms, as well as individuals with a history of treatment resistant symptoms, treatment non-compliance, and/or unhealthy lifestyle choices are more likely to suffer from enduring cognitive deficits.

If you or someone you know appears to be suffering from bipolar 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/


Source: https://www.psychologytoday.com/us/blog/bipolar-you/201412/cognitive-deficit-in-bipolar-disorder

Sexual Assault: Why Survivors Don’t Come Forward Sooner

By Samantha Glosser

If you watch the news or are an avid social media consumer, you have probably heard about various claims of sexual assault against public and political figures, where the victim did not immediately come forward. We recently saw this with Dr. Christine Blasey Ford, who publicly accused U.S. Supreme Court nominee, Brett Kavanaugh, of sexually assaulting her as a teenager. Situations like Dr. Ford’s have opened up a discussion about one important question: why do survivors wait so long to report an assault? Research shows that it is a normal response for survivors of sexual assault to take time before reporting the assault, if they report at all. This may not make sense to you, as you are probably wondering why they wouldn’t want justice or revenge on their abuser. However, there are numerous reasons that compel survivors to prolong or withhold disclosing that they were sexually abused.

  1. Fear of being victimized a second time. Reporting a sexual assault often leads to new and added traumas from peers, family members, police officers, lawyers, etc. This feeling often comes from having to relive the experience or from people indicating that the victim caused the sexual assault by asking questions like, “What were you wearing at the time of the attack?”
  2. Lack of support. Lack of support is a multi-faceted issue. Survivors find it hard to report if they are not surrounded by loved ones who support them. However, even with this support, individuals still refrain from reporting because they know that our society has a tendency to blame the victim for the sexual assault. A lack of support can even come from other survivors of sexual assault. Typically, other survivors are seen as a source of comfort. However, some will dismiss another person’s assault with statements like, “What’s the big deal? It happens to all of us. Get over it.”
  3. Decline in functioning after the assault. Survivors of sexual assault experience intense feelings of shame, worthlessness, and self-loathing which can quickly bring on depression and anxiety. It is difficult for survivors to contemplate a course of action after the assault when they can barely figure out how to make it through the day. In the midst of these emotions, survivors want to forget and pretend that the assault did not occur.
  4. Vague memories of the attack. In some cases, victims of sexual assault were drugged by their abuser or previously inebriated. Both of these situations can lead to victims only having a vague memory of the attack. In addition, the trauma endured by some victims is so severe it causes them to dissociate, which also leads to vague memories. When individuals do not have a vivid recollection of the event, they may be scared to come forward because they fear others will not believe them, or in some cases because they do not believe their own memories.

If you or someone you know is a survivor of sexual assault, 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/.

Source: https://blogs.psychcentral.com/psychology-women/2018/10/6-big-reasons-women-dont-report-sexual-abuse-right-away/

Nightmares: Normal or Disorder?

By: Sanjita Ekhelikar

We all know the horrible sensation of waking up in the middle of the night after a nightmare, a terrifying dream that occurs during the rapid eye movement (REM) stage of sleep. These dreams are a normal response to stressors in our life, and occur both during childhood and in adulthood. However, when nightmares occur regularly and lead to impairment of one’s cognitive and social functioning, they can develop into Nightmare disorder.

Nightmare disorder is characterized by frequent occurrences of fearful dreams which can interfere with development, functioning, and sleep. People with the disorder are constantly woken up with the detailed recall of dreams that feel like a threat to their survival or security. In addition, such individuals tend to awaken very easily, and have difficulty functioning throughout the day. They are not taking any substances which could lead to the increase in nightmares and, therefore, show signs of the disorder.

Many of the likely causes of Nightmare disorder include mental illnesses such as anxiety and depression, which cause people to stress throughout the day which can interfere with their sleep. In addition, any major life trauma can result in this growing distress. Finally, any sleeping disorder, such as narcolepsy, sleep apnea, or sleep terror, can cause increased nightmares.

If you are experiencing extreme, recurrent nightmares, do not hesitate to reach out for help and seek treatment. You can speak to a psychologist or take anti-depressant medication to address the issues behind these dreams and to better reduce the unpleasant symptoms. Aside from this, setting a routine during bedtime, making oneself comfortable, exercising during the day, doing meditation before bed, and sleeping until sunrise are ways to better relax and try to prevent nightmares. It is important to take care of yourself and your health, both when you are awake and alert AND when you are asleep.

If you or someone you know is suffering from nightmares, 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/.

Postpartum Depression (PPD)

By: Estephani Diaz

Becoming a mom is supposed to be a beautiful new chapter in a woman’s life, as she gives birth to a new life. However, for about 3 to 6 percent of women, it can lead to postpartum depression, also referred to as “baby blues.” Postpartum Depression, also known as “Depression with Peripartum Onset,” is a depression that grows within the first few weeks after giving birth, and/or even while pregnant. In order to be diagnosed with the “baby blues,” one must meet 5 or more of these major depressive episodes:

  • No interest or pleasure in activities
  • Significant weight loss/gain
  • Psycho-motor agitation/retardation
  • Thoughts of death/suicide
  • Insomnia/hypersomnia
  • Depressive mood almost everyday
  • Diminished ability to think/concentrate
  • Feelings of worthlessness
  • Fatigue/loss of energy

Someone with postpartum depression is likely to experience excessive crying, loss of energy, and even withdrawing from loved ones. She also may have a hard time building a bond with her newborn baby. In this mindset, sometimes moms go on to hurting themselves, and even their baby. This may be accompanied by frequent thoughts of suicide and death.

If you or someone you know is suffering from 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/.