Major Depressive Disorder

Social Media: The Impact on Mental Health

GalleryJudy Gurfein Leave a comment

Social Media: The Impact on Mental Health

By: Maria Koutsothanasis


Social media plays a significant role in shaping how we connect, communicate, and even view ourselves. While social media has its benefits, it can also have a detrimental impact on mental health. Social media can negatively affect our mental well-being through constant comparisons, unrealistic expectations, and exposure to harmful content. By being intentional about what we engage with, we can use social media as a tool to enhance our lives and protect our mental well-being.

One of the main drawbacks of social media is the tendency to compare ourselves to others. Platforms such as Instagram and TikTok are often filled with images of people’s “perfect” lives, highlighting their achievements, beauty, and happiness. This can lead to feelings of inadequacy and low self-esteem, especially when we find ourselves measuring our lives against these unrealistic portrayals. Social media comparison can lead to symptoms of anxiety, depression, and even body image issues. The more we focus on the idealized versions of others’ lives, the more likely we are to forget that what we see online isn’t always an accurate reflection of reality.

The positive aspect is that we can decide what content we engage with. By intentionally following accounts that promote positivity, self-love, and well-being, we can counteract the negative effects. Following fitness influencers who focus on health rather than body perfection, or mental health advocates who offer advice and share stories of resilience, can create a more positive environment. By engaging with content that aligns with our values, we can shift our mindset toward growth and self-empowerment.

Social media often highlights negativity, which can significantly affect our mental well-being. Platforms frequently highlight drama, conflicts, and extreme opinions, contributing to constant criticism and judgment. Posts that focus on problems, such as failed relationships, mental health struggles, or societal issues, can evoke anxiety or feelings of hopelessness. Viral content that spreads negativity, such as gossip or inflammatory comments, often gains attention, while positive messages may not receive the same recognition. This constant exposure to pessimism can leave individuals feeling overwhelmed and disconnected from the positive aspects of life.

While social media has its negative aspects, it’s possible to transform how we interact with it to protect our mental health. By being mindful of the content we consume and consciously seeking out positive, uplifting posts, we can create an online environment that nurtures our well-being. Social media can be a powerful tool for connection, education, and personal growth if used intentionally. Ultimately, it is important to remember that we control our social media environment and can shape it to support our mental health.

If you or someone you love is struggling with 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 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 http://www.counselingpsychotherapynjny.com/. 


UC Davis Health. (2024, November 27). Social Media’s impact on our mental health and tips to use it safely. health. https://health.ucdavis.edu/blog/cultivating-health/social-medias-impact-our-mental-health-and-tips-to-use-it-safely/2024/05

Depression: Impacts on College Students

GalleryJudy Gurfein Leave a comment

Depression: Impacts on College Students

By: Maria Koutsothanasis

College is where many students are excited about independence, opportunities, and new experiences. Some students may experience challenges with change and experience feelings of depression. Balancing academics, social life, and financial difficulties can bring anxiety onto a student. These challenges can significantly impact mental health and lead to depression. Depression not only affects a student’s emotional well-being but disrupts all other aspects of their life.

The Impacts

  1. Academic Struggles

      Depression can disrupt a student’s ability to focus, retain important information, and meet deadlines for assignments. Symptoms such as fatigue, lack of motivation, difficulty concentrating, and hopelessness can lead to poor attendance and a decline in grades. Without the proper environment and support, depression can consume a student’s daily life and cause academic struggles.

      2. Social Isolation

        Depression can impair a student’s social life and cause them to lose the strong support systems they previously had. The withdrawal from social interactions can worsen symptoms of depression and lead students to feel alone. Depression can consume a student, making it difficult to get out of bed and engage in social activities that other students would enjoy.

        3. Long Term Consequences

        Without the proper support, environment, and treatment, depression can cause long-term effects. Academically, depression can lead students to fail courses and drop out of school which can impact the opportunities that are presented to students in the future. Untreated depression can lead to long-term physical health issues such as heart disease, chronic stress, and unhealthy coping mechanisms.

        Coping and Support

        1. Utilize Campus Resources

          Many colleges offer a wide range of support systems to help students cope with their depression. Counseling services, support groups, clubs, and mental health and wellness workshops are resources that can support students during difficult times.

          2. Establish Healthy Habits

          A routine such as regular exercise, a balanced diet, and consistent sleep can improve mood and energy levels. Incorporating mindfulness is a way to reduce anxiety and depressive symptoms. Students can use creative tasks and different outlets students can use to reduce stress and enhance their emotional well-being.

          3. Build support

          Building a strong support system and a positive environment is a way to decrease feelings and symptoms of depression. Reaching out to people who will provide you with the support you need is important. Staying connected with friends and family provides emotional support and stability.

          Depression among college students is an issue that needs awareness and actions to reduce stigma. By prioritizing mental health students can overcome mental health challenges that are constantly experienced. By accessing resources provided by colleges, establishing healthy habits and regular routines, and building a strong support system, students can develop resilience and improve their mental health.

          If you or someone you know is struggling with depression or other mental health issues, 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 & Psychiatric Services. 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/

          Kristen Bowe, A. (2023, August 22). College students and Depression. Mayo Clinic Health System. https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/college-students-and-depression

          Luo, M.-M., Hao, M., Li, X.-H., Liao, J., Wu, C.-M., & Wang, Q. (2024, January 25). Prevalence of depressive tendencies among college students and the influence of attributional styles on depressive tendencies in the post-pandemic era. Frontiers in public health. https://pmc.ncbi.nlm.nih.gov/articles/PMC10850216/

          WebMD. (n.d.). How common is depression among college students?. WebMD. https://www.webmd.com/depression/what-to-know-about-depression-in-college-students

          Depression: Do Genetics Play a Role in Depression

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          Depression: Do Genetics Play a Role in Depression

          By: Josette DeFranco

          Major depressive disorder is a condition that affects many individuals. Major depressive disorder can range from being clinically mild and short-lasting to recurring over and over again, to being highly chronic and treatment-resistant. Depression is known to run in families indicating that there are genetic factors. It can be a combination of life experiences and environment. Genetics plays a mild role in depression. Also, families with certain genetic patterns lived eight years shorter than average. As depression may range from transient to debilitating it is expected that many different sets of genetic alterations are involved. Some genes are associated with weight and body, neuron development, and brain inflammation and another group is associated with proteins that tell the immune system which cells are friendly and which are not. This means that our genetics can not only influence our physical characteristics but also how our brain functions and our immune system interacts and identifies with different cells in the body. Your environment can modify the genetic factors that play a role in depression.

          If you are concerned about a strong history of depression in the family and are scared about it affecting you or your future children a study suggests that even with a high tendency for depression, psychotherapy or behavioral activation therapy can reduce it. Individuals need to understand the life-changing impact their environment can have on their mental health. Our emotions are generated by our thinking which may serve as an influence on our behaviors. You may have had genetic roots of depression, a difficult upbringing, or a terrible tragedy that has currently occurred but if you change your thinking then your emotions will change as well.

          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/the-athletes-way/201603/depression-new-research-shows-genetics-are-not-destiny

          https://www.psychologytoday.com/us/blog/psychiatry-the-people/201804/massive-study-clarifies-genetic-risks-major-depression

          https://www.psychologytoday.com/us/blog/the-three-minute-therapist/202007/overcoming-genetically-based-depression

          Grief: Grieving Around the Holidays

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          Grief: Grieving Around the Holidays

          By Emily Ferrer

          As the weather gets colder, the colorful leaves fall off the trees, and the holiday decorations start to light up the night, the feeling of the best time of the year starts to kick in. As merry and cozy as these holidays seem to be, they do not always have the same effect on everyone. Grieving around the holidays can feel extremely lonely, sad, and overwhelming. The first holiday season is always the hardest for individuals and families who have just lost someone close to them, such as a grandparent, parent, sibling, child, or other close relative that they would usually see during the holidays. The empty chair at the dining table during Thanksgiving, or the wonder of who is going to make the Christmas cookies this year can be extremely heartbreaking. Even after you feel as if you have started to feel better through your grieving process, the holidays can dig up more emotion than you have felt since losing your loved one. You may start to feel more down, tired, unmotivated, sluggish, and lonely. You may also start to get flashbacks of your loved one when they passed that may also make you feel as if you are grieving from the beginning all over again. As hard as the holiday season may be for grieving individuals and families, here are some tips to help make your holiday season a bit brighter this year[1]:

          • Surround yourself with people you love and care about. Being with a big group of people during the holidays after losing a loved one can help you feel less lonely and can also be a great opportunity to share stories about your loved one with your family.
          • Do not “cancel” the holiday. As tempting as it may be to forget about the holidays after losing your loved one it is important to keep it going and grieve along the way. Experiencing the holiday season after the death of a loved one is part of the grieving process from which you should not run away.
          • Create new traditions. Finding new traditions can also be a create way to cope during the holiday season. This can include changing the location of where holiday dinner is hosted, picking new family members to carve the turkey or make the Christmas cookies, or even coming up with a new holiday game to play to fill the emptiness that everyone may feel.
          • Practice self-care. Try not to indulge in alcohol or drugs during the holiday season to cope with your grief; instead, try journaling, spending time with friends, or physical activity to boost your mood. It is also important to let yourself feel any emotions that arise and to not fight the conflicting feelings of anger, sadness, joy, and happiness.
          • Seek professional help. It is important to be aware of your feelings during such a difficult time and recognize that if the holiday season is too much for you to handle to seek professional help to assist you during this challenging period.

          If you or someone you know is struggling with grief this holiday season and wants help, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists 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

          Sources:

          [1] https://www.vitas.com/family-and-caregiver-support/grief-and-bereavement/holidays-and-grief/coping-with-grief-during-the-holidays

          Emotionally Abusive Relationship: How to Spot the Signs

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          Emotionally Abusive Relationship: How to Spot the Signs

          By Erika Ortiz

          Abuse of any kind must never be tolerated. Whether it is from your boss, spouse, family member, or friend, it should not be taken lightly and must be acted upon quickly before it can escalate to serious issues. However, some forms of abuse are difficult to distinguish and can be especially hard to come to terms with when the abuser is a significant other such as a spouse or boyfriend/girlfriend. Physical abuse is a well-known form of abuse; however, emotional abuse has a subtle component, making it very tricky to catch. Here are some signs that you are in an emotionally abusive relationship:

          Controlling and manipulative- Your partner may make you feel bad for going out or give you a curfew when you’re out with friends.

          Gaslighting- Your partner can make you believe points in their arguments or things you have “said” that never happened.

          Humiliation and embarrassment- They may insult you, make fun, and make you feel bad about yourself in front of others.

          Silent treatment/Stonewalling- After an argument, they may “shut down” to make you feel abandoned and cut communication.

          Threats- They may flat-out threaten you in any way, shape, or form possible.

          There is quite a lengthy list of signs of emotional abuse. However, it is crucial to be proactive and seek help. These issues can cause or result in depression, anxiety, suicide, and PTSD. It can even lead to physical abuse if it hasn’t already occurred. Please seek professional help immediately if you see any signs of abuse or feel unsafe or unwell.

          If you or someone you know is experiencing an emotionally abusive relationship or signs of it, 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

           Sources

          https://www.webmd.com/sex-relationships/signs-emotionally-abusive-relationship

          https://www.healthline.com/health/signs-of-mental-abuse#control-and-shame

          Eating Disorders: How To Catch Them in Your Loved Ones

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          Eating Disorders: How To Catch Them in Your Loved Ones

          By Emily Ferrer

          Eating disorders are characterized by severe and persistent troubles related to eating behaviors, food, and weight[1]. There are many different types of eating disorders; however, the most common are anorexia nervosa, bulimia nervosa, and binge eating disorder. Nine percent of the entire population suffers from an eating disorder and 10,200 deaths are recorded each year due to an eating disorder[2]. After reading about how common they are, I am sure you are wondering, “How do I know if I or someone I know has an eating disorder?” There are many signs and symptoms associated with eating disorders[3]:

          Anorexia Nervosa:

          • Extreme weight loss
          • Muscle weakness
          • Bone weakness
          • Amenorrhea
          • Brittle hair/nails
          • Always feeling cold
          • Obsession with food
          • Depression

          Bulimia Nervosa:

          • Frequent trips to the bathroom after a meal
          • Chronic sore throat
          • Dental decay
          • Laxative/diuretic misuse
          • Large amounts of food disappearing
          • Fainting from excessive purging

          Binge-Eating Disorder:

          • Weight gain
          • Eating very rapidly
          • Eating until very full
          • Eating even when not hungry
          • Hiding large amounts of food
          • Eating alone on purpose
          • Feeling guilty after eating large amounts of food

          Eating disorders can be extremely serious if not treated. It is important to stay informed about the signs and symptoms of different eating disorders so you can find help for you or someone you know as soon as possible. Other general signs of eating disorders to look out for are a sudden obsession with food (cooking it, eating it, watching cooking shows/videos), social withdrawal, drastic changes in mood, new attitudes towards food, new dieting habits, self-harm, excessive exercise, obsession with calorie and step count, repeatedly weighing themselves, and body dysmorphia[4]

          If you or someone you know is struggling with 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 http://www.counselingpsychotherapynjny.com

          Sources:

          [1] https://psychiatry.org/patients-families/eating-disorders/what-are-eating-disorders

          [2] https://anad.org/eating-disorders-statistics/

          [3] https://psychiatry.org/patients-families/eating-disorders/what-are-eating-disorders

          [4] https://www.lifeworkscommunity.com/eating-disorders-treatment/how-to-recognise-the-early-signs-of-an-eating-disorder

          Intergenerational Trauma: What is it?

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          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

          Insomnia: How Depression Is Related to Insomnia

          GalleryJudy Gurfein Leave a comment
          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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          How to effectively deal with Insomnia

          Psychotherapy: Benefits of Rational Emotive Behavior Therapy (REBT)

          GalleryJudy Gurfein Leave a comment

          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

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          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/