Toxic Relationships and their effects on Mental Health

      Mental Health/ Toxic Relationships

By: Ingrid Guevara

A relationship where the behaviors of one person in the relationship are emotionally and, in some cases physically damaging to the other, is what is defined as a toxic relationship. In a toxic relationship you see behaviors like: constant belittlement, guilt-tripping, extreme jealousy, blaming and using manipulation to fulfill personal desires. Such behaviors take a tremendous toll on a person’s mental health. Toxic relationships lead to decline in self-esteem, energy levels and your overall happiness. Being in a toxic relationship creates feelings of insecurities and self -doubt which also leads the person to live in extreme caution while in the relationship. Realizing that a relationship is toxic is a crucial step in prioritizing and protecting your mental health. Then comes taking steps to setting boundaries, seeking support from loved ones or professionals and engaging in activities that bring you joy, all things that promote healing and personal growth. Always keep in mind that everyone deserves a nurturing and healthy relationship. It is okay to step away from relationships that negatively affect your mental health because your mental health is crucial and should always be put first.

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 http://www.counselingpsychotherapynjny.com/

References:

Low Maintenance Might be a Bad Thing

By Katie Weinstein

In our society low maintenance is always seen as a good or neutral thing. People who are low maintenance are seen as flexible, nice, and easy going. If you are low maintenance meaning you can walk out the door without spending an hour doing your hair and makeup that is great, but if you are a low maintenance friend or partner out of fear of asking people to meet your needs, it is time to set boundaries and begin advocating for yourself.

Some people become high maintenance because their parents downplayed their feelings or were not able to meet the needs of their child for reasons such as working multiple jobs, having another child who was high-need, or suffering from an addiction problem. Other people become high need because peers labeled them as dramatic or they were excluded in school so learned to become an easy friend so they shut down their needs. As a result, people learn to be low maintenance so that they take up as little space as possible. In reality, if you’re low maintenance as a result of fear of asking people to meet your emotional needs and coming across as needy, it can take a toll on you.

It is important to first start with identifying what your needs are and what makes you happy. You also need to remind yourself that your needs are valid and it is normal to ask things of people. You are not being overly sensitive or dramatic. While it might seem horrifying to ask people for things, build up the confidence to set boundaries and tell people how you feel. True friends or partners will stick around even if it takes some getting used to. It is also important to tell yourself a new narrative about your needs. Instead of telling yourself that you are dramatic, tell yourself you are advocating for yourself. Once you stop being so low maintenance your confidence will improve, you will build better relationships, and people will stop using you. It is important to get as much in a relationship as you give. If you need help identifying your needs, building your confidence, or advocating for yourself, therapy might be a great option for you.

https://www.psychologytoday.com/us/blog/between-the-generations/202101/are-you-too-low-maintenance?collection=1151944

https://www.psychologytoday.com/us/blog/sexual-self/202104/why-some-people-feel-sad-after-sex

If you or someone you know is low maintenance and 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/

Discipline and the Effects of Yelling at a Child

By Katie Weinstein

When it comes to verbal abuse, many people disregard it as a form of abuse because it is not as concrete as physical or sexual abuse, and it is more difficult to draw the line between verbal abuse and scolding. However, the effects of yelling and verbal abuse are just as detrimental and intense as any other type of abuse and can lead to depression and anxiety.

Being yelled at frequently increases the activity of the amygdala, which is the area of the brain that is responsible for emotions. This is because loud noises are signaled to the brain as a warning sign for danger. The amygdala increases stress hormones in the body, which increases muscular tension. These signals tell the body to fight, flight, or freeze, but none of these options are okay when a parent is yelling at a child since it isn’t acceptable to run away from a caregiver or fight them, which leaves the body to be in a stress condition with no purpose or function.  

There are long term effects of yelling at a child frequently since the brain develops neuronal pathways according to our experiences. If the child is conditioned to frequently respond to stressful situations, the child will develop pathways that activate a stress response quickly. Since negative interactions impact a person more than positive interactions, it affects our expectations and self-esteem drastically, especially if the yelling involves name calling, as well as behavior. One might think that yelling would get a child not engage in a specific behavior, but in reality yelling increases bad behavior due to stress and increased aggression as a result of a hyperactive amygdala, which may cause the parent to yell more. Since the child is constantly stressed, they are at risk for mental health problems such as anxiety and depression. Additionally, since yelling is not an effective communication style, the child may not learn to properly communicate, which can affect the child’s relationships in the future, leading to more problems down the road.

If you or someone you know is experiencing trauma from verbal abuse 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://optimistminds.com/psychological-effects-of-being-yelled-at/

https://www.nami.org/Blogs/NAMI-Blog/February-2018/The-Problem-with-Yelling#:~:text=Being%20frequently%20yelled%20at%20changes,increasing%20muscular%20tension%20and%20more.

https://www.healthline.com/health/parenting/effects-of-yelling-at-kids

Body Image: The Negative Effects of Zoom

By: Lauren Zoneraich

Due to the transfer of meetings, classes, and other events from in-person to Zoom, people are experiencing an increase in self-consciousness from looking at their faces on a screen. In normal interactions, we do not need to confront our own image, but on Zoom we constantly face it. During Zoom meetings, it may be difficult to avoid focusing on how we look when we listen, talk, and emote. Continually staring at our own image can bring our insecurities to the forefront of our minds. In fact, our perception of our image may become distorted the longer we look at ourselves.

Zoom meetings may be especially difficult for people who already struggle with body dissatisfaction, or its more severe form, body dysmorphia. Body dysmorphic disorder is a preoccupation with one’s appearance, especially minor aspects of appearance which one perceives as a defect or flaw. People with body dysmorphia may have low self-esteem and believe that the perceived defect in their appearance makes them ugly or deformed. The preoccupation with the perceived flaw may cause anxiety in social situations. People with body dysmorphia may frequently check their image or groom themselves as a means to “fix” their perceived flaws. Features on technology, such as the “selfie camera” on the iPhone, serve as mirrors that enable people to repetitively perform these checking behaviors. The selfie camera also promotes preoccupation with one’s appearance. The Zoom screen is a permanent, overstimulating mirror.

A survey of a class at Cornell University revealed that the main reason students do not keep their cameras on during Zoom classes is due to insecurities about how they look. Zoom has implemented some features to combat these body image issues. Users can choose to “Hide Self View” so that they cannot see their own image on the Zoom call. Still, although they cannot see themselves, people may still worry about how others see them. If one is constantly staring at oneself or worrying about how one looks, one may not be able to focus on the content of the meeting.  Mind-wandering may decrease the level of happiness one feels while participating in a certain activity. Thus, eliminating distractions may make classes and meetings more enjoyable for participants.

If you or someone you know is struggling with body image or body dysmorphia, 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:

Zoom Classes Heighten Self-Consciousness, Introducing New Classroom Distraction

https://www.vogue.com/article/body-dysmorphia-zoom-face

https://www.mayoclinic.org/diseases-conditions/body-dysmorphic-disorder/symptoms-causes/syc-20353938#:~:text=Body%20dysmorphic%20disorder%20is%20a,may%20avoid%20many%20social%20situations.

https://greatergood.berkeley.edu/article/item/does_mind_wandering_make_you_unhappy

Image Source:

https://www.pcmag.com/how-to/how-to-prevent-zoom-bombing

Perfectionism: Obsessive-Compulsive Personality Disorder (OCPD)

Perfectionism: Obsessive-Compulsive Personality Disorder (OCPD)
By: Isabelle Siegel

Oftentimes when people say “I’m so OCD,” what they really mean is “I’m a perfectionist.” Perfectionism is a trait characterized by a rigid need to be perfect: that is, without flaws. Although perfectionism is often thought of as being a positive trait, it can be maladaptive in many ways. Perfectionists tend to have unrealistically high standards, to take longer to complete tasks, to struggle with collaboration, and to place immense pressure on themselves. When perfectionism is extreme, it may meet criteria for Obsessive-Compulsive Personality Disorder (OCPD).

OCPD, not to be confused with OCD, is a personality disorder characterized by a pattern of inflexibility and a fixation with perfection. This fixation can interfere with one’s ability to complete tasks, one’s interpersonal relationships, and other aspects of one’s life. People with OCPD attempt to control life using details, rules, lists, order, organization, and/or schedules. According to the Diagnostic and Statistical Manual of Mental Disorders, OCPD is diagnosed when an individual demonstrates:

  • a fixation with details, rules, lists, order, organization, or schedules
  • perfectionism that interferes with task completion
  • overemphasis on work and productivity, leaving no time for leisure or relaxation
  • a fixation with morality and ethical responsibility
  • hoarding of objects and/or money
  • an inability to delegate tasks to others
  • an overall rigidity and/or stubbornness

Like other psychological disorders, OCPD can be treated with therapy and medication. Therapies for OCPD emphasize identifying and modifying maladaptive behavioral patterns, as well as targeting triggers (such as stress) for overly perfectionistic behavior.

If you or a loved one demonstrates symptoms of OCPD, 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/

Sources:
https://www.goodtherapy.org/learn-about-therapy/issues/perfectionism
https://www.ocduk.org/related-disorders/obsessive-compulsive-personality-disorder/clinical-classification-of-obsessive-compulsive-personality-disorder/

Image Source: https://commons.wikimedia.org/wiki/File:Signs_of_OCPD_1.png

Anger in Children

By: Maryellen Van Atter

Children experience anger. This is an expected part of growing up and learning how to navigate life’s situations. However, when anger becomes overwhelming and distressing for your child and for your family it may be indicative of a greater issue. If your child has trouble controlling their tantrums or frequently experiences anger, you may consider addressing the emotion and helping your child control their anger.

Though every child is different, there are some warning signs that your child’s anger is out of control. These include the child displaying behavior that is dangerous to themselves or others, the child’s teachers reporting that the behavior is out of control, the behavior alienating the child from their peers at school and preventing social interaction (birthday party attendance, etc.), and the behavior disrupting home life. Additionally, parents should observe if their child feels badly about him or herself as a result of their inability to control their anger. This illustrates that the child is experiencing distress because of the lack of control over their emotions, and is a sign that their anger is beyond what is normal or expected for a child their age.

There are many different causes for this behavior. These causes may include anxiety, learning disabilities, trauma, sensory processing issues, or general distress. Triggers are also an important thing for parents to recognize if they are worried about their child’s anger. Identifying triggers or situations which result in anger can help discern the cause of the anger and ways in which it can be effectively managed. Psychotherapy and cognitive behavioral therapy are two treatment methods which professionals use to help a child manage their anger and teach the child coping mechanisms and emotional regulation.

 

If you or someone you know is struggling with a child’s anger expression, 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.yalemedicine.org/conditions/anger-issues-in-children-and-teens/

https://www.psychologytoday.com/us/blog/growing-friendships/201806/children-s-anger-management-strategies-work

https://www.greatschools.org/gk/articles/anger-overload/

https://childmind.org/article/is-my-childs-anger-normal/

Social Anxiety Disorder

Social Anxiety Disorder

Social Anxiety Disorder

By: Julia Keys

It is typical to feel a bit nervous before public speaking or maybe a little anxious before a performance, however, for those with Social Anxiety Disorder, or SAD, even the smallest interactions with others can provoke feelings of extreme anxiety. Social Anxiety Disorder is characterized by a strong and persistent fear of humiliation and embarrassment that could be caused by social situations. People with Social Anxiety Disorder struggle with feelings of self-consciousness that are produced by the possibility of judgement in social interactions. Oftentimes the distress caused by social situations can become so overwhelming for those with SAD that they begin to avoid everyday activities and responsibilities such as going to work, going to school, or picking up the phone.

Signs of Social Anxiety Disorder:

  • Anxiety about being with other people
  • Difficult time interacting with others, stuttering, trailing off, and reserved behavior are common
  • Self-consciousness in front of other people and feelings of embarrassment
  • Fear of being judged
  • Difficulty making and keeping friends
  • Blushing, sweating or trembling around other people
  • Other physical symptoms such as disorientation, shallow breath, diarrhea, muscle tension and upset stomach

Social Anxiety Disorder can be treated with psychotherapy, medication, or both. A common affliction for those with SAD is the rumination that follows social interactions. New types of therapy are being developed to help those with SAD deal with this common symptom: post-event processing or PEP Mindfulness based therapies are aiming to target the feelings of shame, worry, and embarrassment that are caused by overanalyzing personal performance in social situations. Cognitive-Behavioral therapy helps people with SAD change unhealthy thought patterns that may be contributing to their anxiety. Medications such as antidepressants and anti-anxiety meds are often used in conjunction with psychotherapy. Social Anxiety Disorder affects over 19 million people across the US; however 35% of those suffering with social anxiety waited over ten years to seek treatment. Don’t hesitate to reach out and get the help you need.

If you or a loved one is struggling with social anxiety, do not hesitate to seek help by contacting Arista Counseling & Psychotherapy, located in New York and New Jersey to speak to licensed professional psychologists, psychiatrists, psychiatric nurse practitioners or psychotherapists. To contact the office in Paramus NJ, call (201) 368-3700. To contact the office in Manhattan, call (212) 722-1920. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Sources:

https://www.anxiety.org/social-anxiety-disorder-sad

https://www.psychologytoday.com/us/blog/fulfillment-any-age/201904/the-one-dose-approach-help-social-anxiety-disorder

Source for Picture:

https://www.bing.com/images/search?view=detailV2&id=1DCB8A68F1C1E13F5FC8DB9E2A8A155D5018D398&thid=OIP.S96UZQjJADokE5fdhVCocAHaHa&mediaurl=https%3A%2F%2Fsocialanxietyinstitute.org%2Fsites%2Fdefault%2Ffiles%2FFemale3_0.jpg&exph=360&expw=360&q=social+anxiety&selectedindex=414&ajaxhist=0&vt=0&eim=1,2,6

Obsessive Compulsive Disorder

Obsessive Compulsive Disorder

Obsessive Compulsive Disorder

By: Julia Keys

Obsessive Compulsive Disorder (OCD) has been normalized and trivialized in society as a need for everything to be meticulously clean and organized when in reality it is a serious psychological disorder that can cause significant distress for those who have it. Obsessive Compulsive Disorder is characterized by a pattern of uncontrollable reoccurring thoughts, known as obsessions, which can only be remedied by certain behaviors, known as compulsions. People with OCD are commonly depicted as being ultra-neat or afraid of germs, which is true for some people, but the way OCD expresses itself is unique to the individual.

There are several common themes that psychologists have determined when treating patients with Obsessive Compulsive Disorder. One common theme is contamination. This may take on the literal meaning in which an object or place can be perceived as dirty, but it can also mean that contact with a person, place, or object will cause great harm. Checking is another typical behavior. One may check if something is safe or turned off over and over again. Checking can also express itself in the need for constant verbal reassurance, so a person with OCD may ask the same question over and over. People with OCD may be worried that they will suddenly lose control and hurt themselves or someone else. In efforts to qualm these obsessions, one may avoid certain places or people or have plans set in place that could prevent them from acting out these thoughts.

Common obsessions may include, but are not limited to:

  • Fear of germs or contamination
  • Unwanted forbidden or taboo thoughts involving sex, religion, and harm
  • Aggressive thoughts towards others or self
  • Having things symmetrical or in a perfect order

Common compulsions may include, but are not limited to:

  • Excessive cleaning and/or handwashing
  • Ordering and arranging things in a particular, precise way
  • Repeatedly checking on things, such as repeatedly checking to see if the door is locked or that the oven is off
  • Compulsive counting

When reading these lists one might think that these behaviors are relatively typical, however people with OCD spend an excessive amount of time and effort thinking about obsessive thoughts and preforming rituals to control them. A person with OCD may feel brief relief after preforming a compulsion, but they do not feel pleasure from such acts. Obsessions and compulsions are very difficult to control and may result in significant problems in one’s daily life or relationships.

If you or someone you know is struggling OCD, 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/obsessive-compulsive-disorder-ocd/index.shtml

https://www.psychologytoday.com/us/blog/living-ocd/201107/the-many-flavors-ocd

Source for Picture:

https://www.bing.com/images/search?view=detailV2&id=47C5DD3F1D65AD247FE6091E7A61190FA00E0683&thid=OIP.X50wPNnUfEvJHrY8IH6VyQHaFj&mediaurl=http%3A%2F%2Fwww.belmarrahealth.com%2Fwp-content%2Fuploads%2F2016%2F01%2FObsessive-compulsive-disorder-OCD-questionnaire-can-also-help-determine-the-risk-of-depression-and-anxiety.jpg&exph=2475&expw=3300&q=ocd&selectedindex=57&ajaxhist=0&vt=0&eim=1,2,6

 

 

 

Loneliness

Loneliness

By Lauren Hernandez

            Have you been feeling lonely? Feeling alone, like you have nobody to turn to, depend on or trust, is a very common experience, even if you do have a social support group. Social isolation and loneliness can affect people of all ages, races, and socioeconomic backgrounds. One of the most common groups to face loneliness include teenagers and adolescents due to social media and because they are figuring themselves out and are trying to fit in. The elderly are another at risk group due to increased rates of isolation and death of close family and friends caused by aging. Physical limitations, social anxiety, or other emotional or social barriers may also prevent an individual from seeking relationships with others. Loneliness is considered to be a risk factor for an increase in stress, chronic inflammation, Type 2 diabetes, arthritis, Alzheimer’s disease, as well as anxiety and depression. It has also been found that loneliness may increase drug use.

It is important to note that social media has been linked to the rise in feelings of loneliness especially among teens because these platforms create a false sense of connection. Rather than visiting a friend or speaking with someone in person, this communication has been digitized and allows for there to be limited physical interaction.

Loneliness creates feelings of anxiety, depression, and other mental health disorders and it is important to seek help. If loneliness has been overwhelming for you, it may be time to seek professional help.

If you or someone you know is feeling lonely, 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/ .

 

 

 

Personality Psychology: The Big Five O.C.E.A.N.

Personality Psychology: The Big Five O.C.E.A.N.

By Crystal Tsui

You may have seen quizzes online that can help determine your personality. Most of the quizzes online revolve around the basis of five core personality traits. Fiske, Norman, Smith, Goldberg, and McCrae & Costa were the leading researchers that brought evidence of the big five traits. The five traits are scaled on a spectrum, for example if a person was rated low in Neuroticism; they were rated high in Emotional Stability. The five traits are categorized as:

  • Openness: high levels of imagination, insight, tend to be adventurous, creative
  • Conscientiousness: high levels of thoughtfulness, goal-directed behaviors, good impulse controls, and organized
  • Extroversion: high levels of excitability, sociability, talkativeness, assertiveness, and high amounts of emotional expressiveness.
  • Agreeableness: high levels of trust, altruism, kindness, affection, and other prosocial behaviors
  • Neuroticism: high levels of sadness, moodiness, and emotional instability. They tend not to handle stress well.

These five traits have been found to be universal. One study showed that people in more than 50 different cultures found that the five dimensions could be accurately used to describe personality. Also, the five dimensions have biological and environmental origins that can influence the change of personality.

Another study showed that our five factors change over time. It showed that agreeableness and conscientiousness increased, but extroversion, neuroticism, and openness generally decrease as a person ages. Sex also contributes to the five factors as well. Women tend to score higher in both agreeableness and neuroticism. Even though sex differences have been found, it does not, by itself, demonstrate that the sexes are innately different in personality, although that is a possibility.

Frank Sulloway, a psychologist who focused on birth order, found that personality traits correlate with the order of individuals’ birth. He found that firstborns are statistically more conscientious, more socially dominant, less agreeable, and less open to new ideas compared to those born later. This could be due to firstborns caring for their younger siblings at a young age.

The Big Five is not based on any underlying theory; it is merely an empirical finding, meaning that the underlying causes behind them are unknown.

If you or someone you know is dealing with borderline personality disorder, dissociative identity disorder or any other personality disorders, 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.verywellmind.com/the-big-five-personality-dimensions-2795422

https://www.mentalhelp.net/psychological-testing/big-five-personality-traits/

https://blog.adioma.com/wp-content/uploads/2018/11/big-five-personality-traits-infographic.png