generalized anxiety disorder bergen county nj

Eating Disorders: How To Catch Them in Your Loved Ones

GalleryJudy Gurfein Leave a comment

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

Anxiety in Elementary School Students

GalleryJudy Gurfein Leave a comment

Anxiety in Elementary School Students

By Kim Simone

Symptoms of Anxiety

Elementary school students may present with different symptoms of anxiety each day before, during, and after school. Physical manifestations of anxiety may include stomachaches, restlessness, heart palpitations, and complaints of not feeling well enough to attend school. These children often have difficulty falling and staying asleep and may refuse to attend school in the morning. While in the classroom, these students may show difficulty concentrating, show excessive preoccupation with performance, or may perform poorly as a result of excess worry.

Types of Anxiety Presented

Separation anxiety is characterized by excessive worry about being separated from caregivers and commonly affects students of young ages. Social anxiety is another disorder that can be found in children, impacting their ability to participate in the classroom and socialize with their classmates. Another disorder is generalized anxiety disorder (GAD) which affects students who worry about a wide variety of school issues. For instance, students with GAD may struggle with academic perfectionism. Although typically harder to identify in a school setting at a young age, young students may present with symptoms of obsessive-compulsive disorder. Students with this disorder may perform compulsive rituals or behaviors to ease their anxiety. Other anxiety disorders that may affect a student are selective mutism and specific phobias. These often impact academic and social performance.

Treatment Options

Psychotherapy can help children struggling with anxiety. Cognitive behavioral therapy (CBT) is the most commonly used treatment option. This therapy focuses on negative patterns of thoughts and addresses how thoughts affect the way the child feels. Parents of children with anxiety disorders can benefit from speaking to a child psychologist about how they can help. Medications may also be used to ease symptoms for a wide-variety of anxiety disorders. Treatment for anxiety disorders can be done through in-person services and virtual options, which can provide the necessary help to improve daily functioning.

If you or someone you know is struggling with anxiety, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://childmind.org/article/classroom-anxiety-in-children/

Therapy for Anxiety Disorders

https://www.psychologytoday.com/us/basics/anxiety/children-and-anxiety#:~:text=They%20may%20be%20overly%20or,enough%20to%20go%20to%20school.

Image Source:

School Anxiety: what’s normal?

Psychotherapy: Benefits of Rational Emotive Behavior Therapy (REBT)

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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

Anxiety: Generalized Anxiety Disorder (GAD): Signs, Symptoms, and Treatment

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Anxiety: Generalized Anxiety Disorder (GAD): Signs, Symptoms, and Treatment

By Celine Bennion

Generalized Anxiety Disorder (GAD) is a common anxiety disorder in the United States, currently impacting 3.1% of the population; as many as 5.7% of U.S. adults report experiencing this disorder at some point in their lives. GAD is characterized by feelings of excessive worry which have no particular trigger. This anxiety can be felt about school, work, social interactions, or even common, everyday events. These behavior patterns and cognitive issues become disordered when they begin to disrupt normal functioning.

Symptoms of GAD include the following: restlessness, being wound-up or on-edge, fatigue, trouble concentrating, irritability, muscle tension, and sleeping problems including difficulty falling/staying asleep or unsatisfying sleep. At least three of these symptoms must be present for at least six months for a patient to be diagnosed with GAD.

Treatment:

Cognitive Behavior Therapy (CBT) is a type of therapy that is particularly helpful in treating anxiety disorders, including GAD. This therapy involves teaching patients different ways to approach anxiety inducing situations by changing how they think, behave, and react to them. It also helps to implement social skills in patients.

Medications are another form of treatment for GAD. It should be noted, however, that medications are used to help decrease symptoms of a disorder and do not cure it entirely. Anti-anxiety and anti-depressant medications are commonly used to treat GAD. Anti-depressants work for both depression and anxiety by altering chemicals in the brain, specifically serotonin and norepinephrine. They help to regulate mood and relieve symptoms associated with these disorders. Selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs) are the most commonly used anti-depressants. Anti-anxiety medications, such as benzodiazepines, are effective in treating anxiety symptoms quickly. They are often used as a second option when anti-depressants are not enough to relieve symptoms.

If you or someone you know is seeking therapy for an anxiety disorder, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & 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.nimh.nih.gov/health/topics/anxiety-disorders

https://adaa.org/understanding-anxiety/generalized-anxiety-disorder-gad

https://adaa.org/blog/category/generalized-anxiety-disorder-gad (photo)

Anxiety and Tests

GalleryJudy Gurfein Leave a comment

Anxiety and Tests

 As universities are opening up and students are returning back to the classroom, students may feel increases in test anxiety as they return to an academic setting. While some anxiety may be a good motivator for studying, a crippling amount of anxiety can result in a decrease in grades and an increased risk of mental health issues. Here are some tips to conquer testing anxiety.

  • Study Smarter, Not Harder: Make sure you’re prepared for the test. Don’t cram and don’t spend too long stressing over the subject. Ask friends and family for help, and set goals to help you reach your potential in different subjects.
  • Focus on the positives: Negativity can be a self-fulfilling prophecy. If you tell yourself you’ll do poorly, you’ll end up not having the motivation to study and thus do poorly. Practice positive self-talk and set realistic goals for yourself.
  • Build Good Habits: Manage your time wisely. Make sure to get enough sleep the day before the test and eat something nutritious the morning of the test.
  • Do Relaxation Exercises: There are a number of ways to alleviate physical symptoms. Do breathing exercises, count backwards from one hundred, and meditate. Find out which relaxation technique works best for you.

            As everyone returns to the classroom there will be an adjustment period. Be proactive in helping your test anxiety and practice the methods that work best for you.

If you or someone you know is seeking therapy for an anxiety disorder, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & 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.therapistaid.com/therapy-guide/treating-test-anxiety#references

Mindfulness: Its Effects on Anxiety and Depression

GalleryJudy Gurfein Leave a comment

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/

Laziness: The Harmful Effects of the Term “Lazy” on Mental Health

GalleryJudy Gurfein Leave a comment

By: Rebecca Fernandez

               “Lazy” is a common uncomplimentary term in modern vocabulary for when someone is unproductive. Think back to a time a group member failed to pull their weight in a group project, or a time someone procrastinated severely, leaving everything for the last minute and creating a poor final product. Consider even a time where you witnessed someone who, by early afternoon, was seemingly unable to bring themselves to get out of bed to start the day.

Whether it was yourself or someone else that you imagined, it’s easy to write off everyone in those examples as lazy. However, there’s a major issue with doing that – “laziness” is often not the cause of these situations. Rather, many mental health conditions can create issues that simulate behaviors identical to laziness.

Take, for example, disorders such as attention deficit hyperactivity disorder (ADHD), depression and other mood disorders, insomnia and other sleep disorders, and anxiety disorders including obsessive compulsive disorder (OCD) and generalized anxiety disorder (GAD). Each of these conditions can negatively impact a person’s ability to be productive, making them appear lazy. People with ADHD can often find themselves imagining all of the tasks they could be engaging in at once and becoming so overwhelmed they feel almost paralyzed. People with depression and other mood disorders often lack the mental energy to accomplish anything. Similarly, people with insomnia and other sleep disorders often lack the physical energy to accomplish anything. People with GAD may have a crippling fear that they won’t be good enough at something, preventing them from attempting to do the task in question. People with OCD may have a crippling (rational or irrational) fear that something bad will happen if they do specific things, preventing them from doing those things.

               All of these explanations are generalized and therefore may not apply to everyone with each listed disorder, or be the only applicable factor for each disorder’s effect on laziness. However, if you or someone you know has been consistently labeled as lazy, remember that “laziness” is often more than how it appears on the surface, and that actively struggling with mental health does not make a person a failure.

If you or someone you know is exhibiting signs of “laziness” as described above that are getting in the way of day-to-day life, 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://over-coming-ocd.com/2020/07/20/laziness-does-not-exist-10-reasons-why-we-procrastinate/

https://www.psychologytoday.com/us/blog/hide-and-seek/201410/the-psychology-laziness

Drug Consumption Rose During COVID-19

GalleryJudy Gurfein Leave a comment

By: Priya Desai

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

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

If you or someone you know is struggling with drug abuse caused by the pandemic please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

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

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

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

The Importance of Mental Health

GalleryJudy Gurfein Leave a comment

    By Charlotte Arehart

    When thinking about their health, most people only consider the physical state of their bodies. However, it is important that we take our mental health into consideration as well. Not only are these two aspects equally important, but they are actually very closely related. People who have poor mental health are at greater risk of having poor physical health. For example, people who experience depression are at a 50% increased risk of dying from cancer and a 67% increase for heart disease. Stress and anxiety also have a huge impact on the body, affecting the respiratory system, the cardiovascular system, as well as the gastrointestinal system.

    Since mental health is so important, why do people usually disregard it? Many people are afraid of the stigma that surrounds mental health. Since you cannot always “see” mental health problems, some people view them as “not real.” Many people fear that others will look at them differently if they seek mental help. They do not want to be seen as emotionally weak. People are especially worried that seeking mental help with affect their careers, however this is not true. In fact, taking proactive steps to help mental health will reduce possible repercussions for the future. It is better to address the issue sooner rather than later, since unchecked mental health symptoms usually worsen over time. If you are experiencing mental health troubles, by no means are you alone. Many mental health issues are actually more prevalent than one would expect. By realizing that there are tons people who are experiencing something similar to them, people may feel better about reaching out for mental health.

    If you or someone you know needs mental health support, 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.mentalhealth.org.uk/a-to-z/p/physical-health-and-mental-health

    https://www.pdhealth.mil/news/blog/reducing-self-stigma-mental-health-important-physical-health

    Image Source: https://www.hrcsb.org/may-mental-health-awareness-month/

    Physician Burnout during a Global Pandemic

    GalleryJudy Gurfein Leave a comment

      By Eleanor Kim

      Physicians and nurses around the world have been at the front lines fighting the coronavirus and saving the lives of those infected. Now more than ever, citizens are coming to realize the importance of those within the medical field and the bravery that comes with entering medicine. That being said, there has been an immense amount of pressure placed upon healthcare workers, often causing stress, anxiety, and depression. At the end of the day, doctors, nurses, and other healthcare workers are humans and can feel the effects of burnout during such a heightened and high stakes moment in medical history.

      Burnout is when someone becomes overwhelmed by the demands of their daily life, becoming emotionally and physically exhausted and creating a sense of depersonalization and weakened personal accomplishments. Burnout is a common occurrence among physicians and nurses given the great amount of pressure that comes with saving lives. That being said, these feelings of burnout have skyrocketed given the additionally taxing nature of current frontline medical work such as the stress of isolating from friends and family, the extended hours of work, the tragic lack of medical supplies, and the fear of contracting or spreading the virus, to name a few. Physicians are also left to deal with the other struggles and anxieties that the past year has brought upon the general population regarding economic, political, racial, and other personal effects of the pandemic.

      During these elongated periods where healthcare workers are left sleep deprived, improperly fed, and overall anxious about the current status of the pandemic, they are exposed to both mentally and physically long lasting effects. In 2020, there have been a record number of physicians who have reported feelings of burnout and other mental health concerns since the start of the pandemic. Should these issues go untreated, there is an increased risk for depression, self-medication, substance abuse, and suicidal thoughts or attempts. Burnout is more than just stress; it is a mental health crisis and should be treated as such.

      If you or someone you know is feeling the effects of physician and healthcare worker burnout, 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/.

      Resources:

      https://www.forbes.com/sites/lipiroy/2020/05/17/doctor-heal-thyself-physician-burnout-in-the-wake-of-covid-19/

      Image Source:

      https://blog.frontiersin.org/2020/04/14/more-than-a-third-of-medical-staff-suffered-insomnia-during-the-covid-19-epidemic-in-china/