Anxiety, Depression, Eating Disorders, ADHD, Et al: How to Support a Friend with Mental Illness

By: Sarah Cohen

When helping a friend with a mental illness, the first step should be assessment of their symptoms. Sometimes they just might be going through a difficult time, but if certain common symptoms associated with mental health issues persist it is imperative to respond sensitively. Majority of the time, friends will just want to know they have your support and that you care about them. A good way to show your support is by talking to them. If you provide a non-judgmental space for them to speak about their issues it will help encourage them to be open with their problems. Let them lead the conversation and don’t pressure them to reveal information. It can be incredibly difficult and painful to speak about these issues and they might not be ready to share everything. If you aren’t their therapist do not diagnose them or make assumptions about how they are feeling, just listen and show you understand. If someone doesn’t want to speak with you, don’t take it personally, just continue to show them you care about their wellbeing and want to help as much as possible. Just knowing they have support can give them the strength they need to contact someone who can help them.

If a friend is having a crisis, such as a panic attack or suicidal thoughts, you must stay calm. Try not to overwhelm them by asking a lot of questions and confronting them in a public setting. Ask them gently what would be helpful to them right now or reassure them. If they hurt themselves, get first aid as soon as possible. If someone is suicidal, contact the suicide hotline at 800-237-8255 immediately.

The best way to help someone is by connecting them to professional help. By expressing your concern and support you can show them that they can get help and their mental health problems can be treated.

If you or someone you know needs support with their mental illness, 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.mentalhealth.org.uk/publications/supporting-someone-mental-health-problem

https://www.mentalhealth.gov/talk/friends-family-members

The Effect of Social Media and Eating Disorders

By: Sarah Cohen

Eating disorders are extremely serious and often deadly illnesses that include severe disturbances in eating behaviors and related thoughts and emotions. There have been numerous studies in which mass media consumption of the “thin ideal body” has been linked to eating disorders among women. Pressure from media has led to women and men internalizing the “thin ideal body” and led to extreme body dissatisfaction which can then lead to eating disorders. While the effect is smaller among men, they are still being subjected to pressure.

Studies have shown “significant change in the weight and size of female and male models portrayed throughout the media in western society and the concept of the ‘perfect or ideal body’.” This explains “why many adolescents are preoccupied with their bodies and dissatisfied with their body image and are willing to try a variety of dangerous weight-loss practices in their quest for the perfect body.”

Most people are usually not aware the amount of manipulation and digital editing done in the fashion industry to create ‘ideal’ female and male bodies. These false images encourage unrealistic and unhealthy standards that are impossible to attain. One study focused on body concerns in girls 16 years old and tried to understand the underlying motivations to be skinny. The element that exerted the largest pressure to be smaller was the media. Another study measured indicators of eating disorders in a population of young Fijian girls after the addition of Western television to their routine. The indicators of eating disorders were exceptionally more prevalent after extended television viewing, demonstrating a negative impact of media. A large component of the data recorded was the theme of subjects describing a new interest in weight loss as a method of modelling themselves after the television characters they viewed.

In order to prevent the effect of social media on disordered eating, here are three tips: choose what media you view and participate in carefully, limit the amount of exposure you have, and test each media’s message for body positivity by asking critical questions about what information they are attempting to spread.

If you or someone you know needs support with their marriage, 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.nimh.nih.gov/health/topics/eating-disorders/index.shtml

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2792687/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2792687/

https://www.nationaleatingdisorders.org/media-eating-disorders

Tiggemann M, Gardiner M, Slater A. “I would rather be size 10 than have straight A’s”: A focus group study of adolescent girls’ wish to be thinner. J Adolesc. 2000;23:645–59.

Becker AE, Burwell RA, Gilman SE, Herzog DB, Hamburg P. Eating behaviours and attitudes following exposure to television among ethnic Fijian adolescent girls. Br J Psychiatry. 2002;180:509–14.

Eating Disorders During the Holidays

By: Maryellen Van Atter

Eating disorders are psychological disorders characterized by abnormal or disturbed eating habits. There are different kinds of eating disorders, but two prevalent ones are Anorexia Nervosa and Bulimia Nervosa. Individuals with Anorexia Nervosa restrict their food intake with the goal of reducing their weight, and have an intense fear of gaining weight. Individuals with Bulimia Nervosa engage in binge-eating sessions followed by self-induced vomiting, and experience a lack of control over their behaviors and a fear of weight gain. These disorders are very serious and can lead to physical health problems, such as poor circulation and muscle weakness. Eating disorders are also associated with other psychological disorders, such as depression and anxiety.

Eating disorders can be especially difficult during the holiday season. For many, the holiday season puts an additional emphasis on food. Holidays gatherings involve a plethora of food, and this can be extremely difficult for those with eating disorders. The emphasis of food can amplify their concerns and increase their symptom experience, worsening their mental health. This may lead to isolation or feelings of anxiety and guilt. While holidays should be about valuing the positive relationships in your life, this meaning can be lost when there is a focus on food.

There are many treatments that can help those with Anorexia and Bulimia manage their symptoms and establish healthy eating habits. One such treatment is psychotherapy, or talk therapy. There are many variations of this therapy which are successful at treating eating disorders. One is cognitive behavioral therapy (CBT) which is aimed at changing distorted thought patterns to result in healthy behavior. Another is acceptance and commitment therapy (ACT), where patients identify a value or goal and then commit to doing the actions which make that goal possible. When eating disorders are accompanied by symptoms of depression or anxiety, psychiatric medication may be prescribed to assist in the management of those symptoms.

Additionally, there are steps that one can take to prevent the relapse or worsening of disordered eating during the holiday season. If you or a loved one is suffering from an eating disorder, try to shift the focus during the holidays from food to activities, such as decorating, caroling, or playing games. This can ease the negative emotions of those suffering from eating disorders and help them feel more comfortable. It is also important to remind loved ones that it is okay to seek extra help during this difficult season.

If you or someone you know is struggling with disordered eating, Arista Counseling and Psychotherapy can help. Please contact us in Paramus, NJ at 201-368-3700 or in Manhattan, NY at 212-996-3939 to arrange an appointment. For more information about our services, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://www.nationaleatingdisorders.org/learn/by-eating-disorder/anorexia

https://www.nationaleatingdisorders.org/learn/by-eating-disorder/bulimia

https://centerforchange.com/coping-loved-ones-eating-disorder-holidays/

https://www.nationaleatingdisorders.org/types-treatment

https://www.sedig.org/physical-complications

 

Eating Disorders: Disordered Eating Habits

Eating Disorders: Disordered Eating Habits

Image result for disordered eating habits

Eating Disorders: Disordered Eating Habits

By: Julia Keys

Our culture is obsessed with weight, thinness, exercise, and beauty. Studies show that women under the age of 19 are particularly vulnerable to the problematic effects of social media; about 60% of girls have a desire to lose weight even though they are within the healthy weight range ( Morris & Katzman, 2003). As a result, many people have developed unhealthy ways of eating and exercising for dealing with the pressure to look a certain way. These habits can seem minor at first, but can quickly develop into an eating disorder. While disordered eating habits do not meet the clinical criteria for an eating disorder, they are still unhealthy and potentially damaging.

Signs of Disordered Eating Habits:

  • Self-worth or self-esteem based highly or even exclusively on body shape and weight
  • A disturbance in the way one experiences their body i.e. a person who falls in a healthy weight range, but continues to feel that they are overweight
  • Excessive or rigid exercise routine
  • Obsessive calorie counting
  • Anxiety about certain foods or food groups
  • A rigid approach to eating, such as only eating certain foods, inflexible meal times, refusal to eat in restaurants or outside of one’s own home

It is important to recognize the signs of disordered eating and try to eradicate them before they become potentially harmful. Clinicians advise to quit fad diets because they are extremely restrictive and often result in binge eating. Obsessive exercise focused on “fat-burning” or “calorie-burning” should also be avoided and replaced with physical activity that is more focused on enjoyment. Another tip psychologists give is to avoid weighing yourself every single day. Weight can fluctuate about 2-5 lbs. a day, so fixating on a specific number in order to be healthy isn’t helpful. If disordered eating habits suddenly get worse, or start to impact one’s daily functioning, one should seek help.

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:

https://www.psychologytoday.com/us/blog/contemporary-psychoanalysis-in-action/201402/disordered-eating-or-eating-disorder-what-s-the

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2792687/

Source for Picture:

https://www.google.com/search?tbm=isch&source=hp&biw=692&bih=584&ei=4UvtXJSbA-Spgge30qyABA&q=disordered+eating+habits&oq=disordered+eating+habits&gs_l=img.3..0i24.1459.6057..6251…1.0..0.178.1809.22j3……0….1..gws-wiz-img…..0..0j0i8i30j0i30.GFcmoKIva3A#imgrc=skxxnYifexcxWM:&spf=1559055335909

 

Bulimia Nervosa

Bulimia Nervosa

By: Lauren Hernandez

Bulimia Nervosa is an eating disorder known for episodes of out of control eating and subsequent self-induced methods of purging in order to prevent weight gain. Binging is considered an irresistible compulsion and on average happens about once a week, but can also occur several times a week. Bulimia is most common in women and typically begins in their teens to early 20s. The cultural obsession with a perfect body image, fueled by social media models with unattainable body “goals”, is harmful to young people’s self-esteem and body image. Social media perpetuates a cultural and social expectation of women needing to be thin in order to be beautiful, and this negatively impacts our younger generations.

Signs of Bulimia include:

  • Yellow teeth, erosion of dental enamel
  • Gastrointestinal problems
  • Unexpected weight gain
  • Hair loss
  • Lack of bowel movements
  • Lack of energy
  • Dehydration
  • Red, blistered, or scabbed knuckles

Some typical purging methods include:

  • Vomiting
  • Taking laxatives or diuretics
  • Excessive exercise

Some typical restrictive eating symptoms include:

  • Fasting
  • Disordered Eating

Research has shown that people with Bulimia Nervosa have comorbid mental illnesses such as anxiety, depression, or substance use disorder. Bulimia is also related to personality disorders which effect one’s social, personal, behavioral, and emotional interactions. Bulimia is best treated through a primary care physician, a nutritionist, and a mental health clinician. Cognitive behavioral therapy as well as antidepressants are extremely helpful for those recovering from Bulimia. It is important that schools address eating disorders at an early age in order to educate and bring awareness to young people.

 

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/ .

 

 

 

 

 

 

Source: https://www.psychologytoday.com/us/blog/inside-out-outside-in/201703/what-is-bulimia-nervosa

Image source: https://www.bing.com/images/search?view=detailV2&id=3DDA12C2C015D07EED4E8521F677C3692EB5A34B&thid=OIP.5ljFRAgr8tpAQ_TSuNjlVgHaE7&mediaurl=https%3A%2F%2Fwww.seasonsmedical.com%2Fwp-content%2Fuploads%2FBulimia-Nervosa-100.jpg&exph=524&expw=788&q=bulimia+nervosa&selectedindex=53&ajaxhist=0&vt=0&eim=1,2,6

Obsessive Preoccupation with Perfect Health

Obsessive Preoccupation with Perfect Health

By: Toniann Seals

Everyone has heard of the phrase, “too much of a good thing is a bad thing.” Of course, it is not true in all situations, however with healthy living it may be.

Ways to stay healthy:

  1. Exercising daily
  2. Eating regularly
  3. Incorporating fruits and vegetables into your diet
  4. Walking/taking the stairs
  5. Improving strength
  6. Eating organic food

If you take these behaviors to an extreme, it could potentially become negative both physically and mentally. Chronic fatigue or body image issues may arise. If exercising gets in the way of daily activities and causes your energy to decline afterward you may need to cut down. Likewise, eating healthy food is amazing for the body; however excessive dieting, calorie counting, and fasting can lead to eating disorders and other mental illnesses.

This could also negatively impact family and friends as your lifestyle could possibly put them in a position where they feel the need to keep up with you.

Patience, as well as understanding that perfection should not be the “goal,” can erase any bad thoughts or influences. Work hard, yet take care of your mental and physical health. Moderation and balance are necessary for a healthy life.

If you or someone you know is dealing with unhealthy lifestyle habits or an eating disorder, 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/.

Image: https://all-free-download.com/free-vector/download/healthy-lifestyle-theme-human-exercise-and-fruit-icons_6826742.html

Binge Eating Disorder: Know the Signs

secreteating

Binge Eating Disorder: Know the Signs

By Jessica Burgess

It is Tuesday night and Jocelyn has sat down after a long day of work and has just finished dinner. She feels a sudden urge to eat two pork chops, a mound of potatoes, and half a pan of the cornbread she had planned to stretch out for the next week with her family. When she is done, she goes to the store and replaces the pan of cornbread before her husband comes home and sees. She feels uncomfortably full, ashamed, and depressed. Why can’t she control her eating?

Jocelyn and many people like her, suffer from Binge Eating Disorder (BED), an eating disorder characterized by recurrent episodes of overeating, usually quickly until the person is overly full. It is not related to hunger and, in fact, some sufferers are not hungry when the binge begins. People with BED, unlike those with bulimia, tend to not compensate for overeating by purging and BED occurs separately from bulimia or anorexia. Episodes of Binge Eating Disorder are characterized by:

  • Eating, in a certain period of time, more food than most people would eat during that time period
  • And a sense of lack of control during the episode

Episodes also tend to include:

  • Eating faster than normal
  • Eating alone due to embarrassment
  • Feeling disgusted with oneself, depressed, or guilty after an episode

 

If you or someone you know is suffering from binge eating disorder, speak with one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or 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/.

Source: https://www.nationaleatingdisorders.org/learn/by-eating-disorder/bed

Image: https://www.bing.com/images/search?view=detailV2&id=F2C76AFE8AC6C4FF8D667FDD533D889D451488BE&thid=OIP.dKasBi7oeYi1Epsf0KKDcgHaLG&mediaurl=http%3A%2F%2Fblogs.psychcentral.com%2Fnlp%2Ffiles%2F2016%2F11%2Fsecreteating.jpg&exph=499&expw=333&q=Secret+Eating&selectedindex=0&ajaxhist=0&vt=0&eim=1,2,6

Anorexia and Amenorrhea: How Anorexia can be the Reason for Losing your Period

By: Sanjita Ekhelikar

Eating disorders are ruthless mental illnesses which severely impact on one’s mental and physical well-being. One such eating disorder is Anorexia Nervosa. This ailment is characterized by a severely distorted body image, a fear of gaining weight, extreme starvation and restriction of food intake, and a very low body weight. This deprivation of food and nutrients can have detrimental effects to the body. Anorexia Nervosa is primarily prevalent among younger females, although impacting males as well. One side effect of this eating disorder in females is amenorrhea, or losing one’s menstrual cycle.

Amenorrhea can be classified into two forms: primary and secondary. Primary amenorrhea occurs when a female does not begin her menstrual cycle by sixteen years of age. Secondary amenorrhea, loss of the menstrual cycle after it has already begun, is prevalent in many females with anorexia nervosa. The loss of one’s period can be attributed to low body weight, extreme amounts of exercise, and greater stress levels. The loss of such a regulated bodily cycle in a female’s body is dangerous, and can indicate the severity of and impairment caused by anorexia nervosa.

If amenorrhea and the underlying causes of its occurrence are not addressed, women are at risk of becoming infertile. In addition, the levels of estrogen decrease in the female body, leading to the development of pre-menopausal symptoms including loss of sleep, night sweats, and irritable moods. Finally, amenorrhea and the resulting reduction in estrogen can deplete amounts of calcium, thus making bones brittle and more susceptible to breakage. This can even occur in younger women with anorexia who are struggling through amenorrhea.

It is imperative that one seeks treatment if they are struggling with Anorexia Nervosa, and especially if one is also experiencing amenorrhea. Therapy and medication can be of assistance in overcoming this disorder, and in restoring one’s menstrual and mental well-being.

If you or someone you know is dealing with Anorexia Nervosa and/or amenorrhea, please contact our psychotherapy/psychiatry 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/.

Binge Eating Disorder: When your Appetite Cannot be Satisfied

By: Sanjita Ekhelikar

“Binging” is a word that is commonly thrown around and used in our everyday language. It is used in contexts ranging from talking about “binging” on a television show on Netflix, to “binging” on food at Thanksgiving dinner. However, this word and toxic is associated with a severe eating disorder known as Binge Eating Disorder, or BED.

In eating disorders such as anorexia, people have excessive amounts of control over what they eat, and as a result restrict calories and lose extreme amounts of weight. BED, on the other hand, is characterized by an absence of control over the consumption of food. Individuals with this disorder feel like they cannot stop eating, and can consume as many as 20,000 calories in one “binge” session.

Although BED impacts about under 10 percent of individuals in terms of eating disorders (Psychology Today), it is an extremely serious problem that should be given proper attention. People often develop this eating disorder as a result of struggling with emotions or another aspect of life, from feeling pressure from society to have a certain body type, or from hormonal causes. Effected individuals can never feel satiated with eating, and often feel shame, guilt, and low self-esteem as a result of their behaviors. BED is frequently comorbid with other mental illnesses including depression and anxiety, and can cause physical complications such as gastrointestinal problems, cardiovascular problems, and type 2 diabetes. BED can be devastating to live with, but with proper treatment, therapy, and medication, it can be stopped and treated.

So next time before you say “binging” in a context unrelated to this illness, think about the implications of the word, and the severity of BED. While you may have the ability to stop “binging” on a TV show or holiday meal, this presents a large challenge for those afflicted with this disease.

If you or someone you know is suffering from binge 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/.

Why Dieting May Be Bad For You

Sam Kwok

As the summer months roll around, the amount of social media posts of swimsuit bodies increase. Many people believe that summer is the time for dieting to achieve a perfect body that would be praised by others on social media. To help people lose weight and get into shape, many diet plans have been developed which typically restricts those following the plan from specific food groups. Some of the most common diets are:

  • Keto: low carb, high protein
  • Raw: uncooked food
  • Vegan: no foods that come from animals (ex. Dairy, meat, honey)
  • Paleo: no foods cavemen would not have eaten (ex. Pasta, dairy)
  • Atkins: low carbs
  • Weight Watchers: company meal plan, premade food

Research has shown that healthy lifestyles have been linked to better mental health. Those who eat a balanced diet and exercise daily tend to be happier. Though these diet plans seem to encourage people to make healthy decisions, many of these plans are in fact, the very opposite of healthy as they do not promote a balanced diet. The National Heart Organization recommends that individuals eat approximately 6 servings of grains a day. Those on an Atkins and Keto diet typically eat 0-2 servings. Those following the raw food diet also lack a lot of nutrients that exist in cooked food. Plants have an extra layer within their cells known as cell walls which are meant to help the plant in providing protection and structural support. Some animals like pandas have the ability to break through this cell wall, but humans, do not. The only way for us to break down this cell wall to absorb nutrients is through cooking our vegetables.

There have also been cases of individuals who develop obsessions with diet fads and eventually develop eating disorders. Some common eating disorders are anorexia nervosa and bulimia nervosa. These disorders not only take a huge toll on the body physically, but they also affect the mind psychologically. When trying to get into shape, one should eat a balanced diet and exercise daily, yet many diet plans fail to include such topics. Having a stable sleep schedule as well as maintaining social relationships can affect weight as well as an individual’s esteem and should be taken into consideration when one is attempting to lose weight. Remember, you are what you eat- so eat healthy.

If you or a loved one appears to be suffering from an eating 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. Visit http://www.counselingpsychotherapynjny.com/ for more information.