Burnout

Burnout

By Lauren Hernandez

                Recently, the World Health Organization (WHO) has identified “burnout” as a syndrome and has added it to the WHO’s International Classification of Diseases. This legitimization of burnout as a syndrome provides credibility to a person who is over working themselves emotionally, physically, and intellectually.

According to Dr. Suzanne Degges-White’s article on Psychology Today, the symptoms of burnout include:

“1.Feelings of energy depletion or exhaustion

2.Increased mental distance from your job or feelings of negativity or cynicism related to your job

3.Reduced professional efficacy—or, in laymen’s terms, doing a poor job on-the-job”

Dr. Degges-White explains that although most symptoms of burnout may resemble other disorders associated with depression and anxiety, burnout is focused on direct feelings towards your job.

Mindfulness practices may decrease feelings of burnout. Activities such as regular exercise, yoga, and mindfulness meditation may help to stabilize and encourage balance in your life. It is also important to try to sleep and rest as much as you can. Sleeping is a restorative process and helps to promote a healthy mind and body. Because burnout is due to chronic workplace stress, it will not go away by taking a vacation or escaping the workplace for a few days. Burnout is something to be taken seriously and if it is impairing your lifestyle, seek treatment from a psychiatric professional.

If you or someone you know is struggling with 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/ .

 

 

 

Sources: https://www.psychologytoday.com/us/blog/lifetime-connections/201905/burnout-is-officially-classifiedicd-11-syndrome

https://www.forbes.com/sites/bryanrobinson/2019/06/02/the-burnout-club-now-considered-a-disease-with-a-membership-price-you-dont-want-to-pay-for-success/#aa218ac37ab0

Image Source: https://www.bing.com/images/search?view=detailV2&id=D7EC303D1D17B543CE053AC8D020EBB7073F16DA&thid=OIP.4t79eaOz2pi-5BoBUxv_oQHaEK&mediaurl=https%3A%2F%2Fedge.alluremedia.com.au%2Fm%2Fl%2F2018%2F09%2Femployee-burnout.jpg&exph=900&expw=1600&q=Employee+Burnout&selectedindex=3&ajaxhist=0&vt=0&eim=1,2,6

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The Opioid Epidemic: How to Spot the Difference Between an Addiction and Physical Dependency

The Opioid Epidemic: How to Spot the Difference Between an Addiction and Physical Dependency

By Crystal Tsui

In a paper written by Turner et. Al (2017), Opioid Use Disorder: Challenges During Acute Hospitalization, discussed the difference between drug addiction and physical dependency. Addiction is described as a disease. It occurs when a drug produces chemical changes in the brain that enforces the medication to be more desirable. When a person is addicted to a certain drug, they start to build a higher tolerance meaning that they would not feel the effects of the drug with the same dosage. This would make them want to increase the dosage each time just to experience the same effect, which can be dangerous and lead to an overdose. The 4 C’s are the beginning signs of addiction. They are:

  • Craving
  • (loss of) Control
  • Compulsion
  • (using despite) Consequences

A few physical signs of substance abuse includes:

  • Track marks
  • Abscesses
  • Pinpoint pupils
  • Blood in their vomit
  • Chronic cough

There are 3 types of opioid consumers we should be aware of; these include patients with chronic pain, patients who are on medication-assisted treatment and stable, and those who are self-medicating. If you or anyone you know has an opioid addiction, they should be met with warmth and compassion. A caring individual, like you, can help an addict seek the help they need, such as medication–assisted treatment or detoxification.

Individuals who are physically dependent on opioids are a different story. They are usually patients with chronic pain and have become dependent on opioids to relieve pain. However, they don’t feel the desire to take the medication for any purpose other than to relieve their pain. They wouldn’t feel the need to have their dosages increased constantly because the dosage of opioids does not change the effects of relieving pain.

This article is to help define the difference between an addiction and being physically dependent on opioids. This is not an exhaustive list.

If you or someone you know has a drug addiction, 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.rivermendhealth.com/wp-content/uploads/2017/09/opioid-epidemic.png

Opioid Use Disorder: Challenges During Acute Hospitalization, Turner et al. (2017).

The Opioid Epidemic and Drug-Seeking Behavior

The Opioid Epidemic and Drug-Seeking Behavior

By Crystal Tsui

AMA Journal of Ethics states there has been a 300% increase in opiates in the US. What does this mean for the people? Well, drug availability increases when the demands for opiates increase. Long story short, patients with complaints of pain are getting addicted to opiates and are relying on opiates as pain medication when it’s not entirely necessary. Doctors and nurses in the Emergency department are in the frontlines of this epidemic. They see patients with all sorts of complaints, but over 500,000 ED visits are patients with drug-seeking behavior, specifically for opiates. Different types of opiates include:

  • Heroin
  • Oxycodone
  • Percocet
  • Morphine
  • Tramadol

How did the epidemic begin? Doctors and nurses would prescribe their patients opiates just to improve the flow of the ED. However, recently the epidemic has gotten worse. Patients have learned different catch phrases and to over exaggerate their pain to get these opiates. Such as “headaches”, “back pains”, “neck pain”, and even “dental pain”, or rate their pain higher on the scale of 10.

So, how do doctors and nurses know when to give opiates for patients complaining of pain? The answer to the tough question is quite simple, they don’t. Opiates are always a last resort and there are other pain medications out there that treat everyday pain. The most common are:

  • ibuprofen (motrin)
  • acetaminophen (Tylenol)
  • aspirin (advil)
  • steroids

If you or someone you know is addicted to opiates do not be afraid to reach out for help with pain management or drug addiction.

If you or someone you know a drug addiction, 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/ .

Citation:

https://humantraffickingsearch.org/wp-content/uploads/2018/05/1140-pill-usa-opioids-aarp.imgcache.rev5b2d008604b6e9d3635709395bae1267.jpg

https://www.asahq.org/whensecondscount/pain-management/non-opioid-treatment/

https://journalofethics.ama-assn.org/article/drug-seeking-or-pain-crisis-responsible-prescribing-opioids-emergency-department/2013-05

https://americanaddictioncenters.org/the-big-list-of-narcotic-drugs

Addiction

By: Dianna Gomez

It is more often than not assumed that a person addicted to a substance, whether it be drugs or alcohol, is someone with shallow morals, little motivation, and that if he or she really wanted to, they could simply stop using at any moment. These assumptions show how extremely misunderstood addiction is by our general public, as well as how infrequently this topic is discussed among us. Addiction is a chronic disease that affects a person’s brain chemistry, thoughts, and behaviors. An individual can initially fall into addiction through voluntarily substance use or through necessary use of prescription medication prescribed by a doctor (ex: pain medication for after a surgery). When addiction first begins, the substance affects the reward circuits in the brain which causes feelings of complete euphoria. If a person continues to use the substance, the brain adjusts itself and develops a “tolerance” for it, which causes the individual to not feel the effects of the drug as intensely as they did the first time the drug was taken. This requires the person to have to use a larger quantity of the substance in order to reach the same level of “high” they did before. There are many different ways an individual can naturally be more vulnerable to addiction throughout their lifetime. Two of these main ways include biology and environment.

Biology: the genetics a person is born with can affect up to 50% of their risk for becoming addicted to a substance. This includes factors such as gender, ethnicity, and an individual’s family mental health history.

Environment: the conditions in which an individual is brought up in such as their economic status, family/friends, and quality of life in general also plays a huge role in their vulnerability for addiction. Peer pressure, lack of parental guidance, traumatic experiences with abuse (physical, emotional, sexual) are a few examples of common environmental influences.

If either you or anybody you know suffers from substance abuse or addiction, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can help 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 us at https://www.counselingpsychotherapynjny.com/.

 

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/.

Stress: The Detrimental Effects of Stress on the Body

By: Charleene Polanco

Stress is something that everyone experiences at some point in their lives. Stress is defined as a physical, mental, or emotional strain or tension, and whether it is about taking a final exam for class, going off to college for the first time, or work-related, stress can affect the way we perform. If gone unchecked, stress can lead to a variety of negative consequences on the body, which will be discussed. Stress has been linked to a number of physical and emotional disorders, like depression, anxiety, heart attacks and stroke. A constant high level of stress, can lead to immune system disturbances, which can cause an increase in your body’s susceptibility to infections. Stress can also have direct effects on the skin leading to rashes and hives.

Unlike rashes and hives, which are visible, stress can affect various systems, organs, and tissues within the body, signs that are not seen, and are, therefore, much harder to notice. Some parts of the body affected by stress are the nervous and cardiovascular systems. When stressed, the nervous system signals the body’s adrenal glands to secrete adrenalin and cortisol. Since both of these hormones cause high blood pressure, a person who is under constant stress, also has elevated blood pressure which can lead to heart problems in the future. Even if a stress episode is considered to be minor, repeated minor stress episodes can negatively impact a person’s cardiovascular system by causing inflammations in the coronary arteries. This can eventually cause heart attacks. In order to prevent the negative consequences of untreated high levels of stress, it is important to recognize the symptoms. There are multiple symptoms of stress, some of which include, frequent headaches, cold hands/feet, dry mouth, heartburn, depression, forgetfulness, and rapid or mumbled speech.

If you or someone you know is suffering from stress, 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:

“Stress Effects.” Common Signs and Symptoms of Stress, The American Institute of Stress, 4 Jan. 2017.

Psychiatric Medication: The Stigma of Mental Health Medication

By: Sanjita Ekhelikar

When someone gets a fever, a bacterial infection, or any other physical illness, what do we tell them? “Rest, go to the doctor, and take some medicine.” We strongly encourage them to receive a prescription for and to take medication for their illness. If a sick individual were to not take their medication, we would tell them that they are being irresponsible, and that they are not taking care of themselves. Why do we not say the same when it comes to medication for people struggling with mental illness?

In a time when mental health is becoming increasingly important, society still has a stigma around this, primarily regarding prescription psychiatric medications for it. There is still a lack of understanding about what mental health is and how it impacts people. Some view those with these difficulties as “crazy” and “unstable.” Medications for such conditions are seen in a negative light, and are seen to be only for people who are labelled “crazy” or “unstable.” Since mental illnesses are related to the mind and are invisible to the eye, many in our society cannot believe that these illnesses are serious, and thus consider taking medication for them to be shameful and unnecessary. As a result, thousands of individuals feel ashamed to get the proper help and take medications. They thus must struggle and suffer silently.

In reality, mental health medications can be extremely beneficial, and can change the lives of those who take them. Mental illness can be grueling to live with and can compromise one’s life and wellbeing. Medication helps these individuals to overcome their condition and lead a better life, especially paired with psychotherapy. Antipsychotic and antidepressant drugs have been developed to help these people in need, and we should be encouraging people to take them and take the necessary steps in getting better instead of shaming them.

While we have no problem encouraging our loved ones to take Tylenol, Advil, Cough syrup, and many other medications for their physical ailments, we should be just as promoting of them taking Lexapro, Zoloft, Prozac, and other psychological medications. It is time to eliminate stigmas around taking care of our mental health, and encourage and applaud those who have taken the steps towards a better life through using mental health medications.

If you or someone you know is suffering mental illness and would like to consider medication, 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/.

Part 2: Marijuana as Medicine

 

Marijuana Part 2: Marijuana as Medicine

Sam Kwok

Despite the growing use of medical marijuana, under the federal jurisdiction, it is still classified as a schedule 1 drug. Twenty-nine states have legalized medical marijuana; however, each state has its own legislature that creates lists of preapproved conditions that may be treated with marijuana. Though, when comparing these lists, one may notice that the severity of the conditions ranges drastically. For example, California, a state known to have very loose marijuana regulation laws, has a list that include more common conditions such as anorexia, anxiety, depression, migraines, or just “any debilitating illness …deemed appropriate by the physician.” New Jersey, which is considered a moderate state when examining marijuana regulations, has a list that excludes anxiety and depression, but includes more severe illnesses including terminal cancer, muscular dystrophy, and terminal disease where the physician has determined there is less than a year of life left. Despite the differences in severity, under the US law, medical marijuana patients, dispensaries, and government officials that do not enforce the federal laws are all criminals to some extent.

In the early 70’s Nixon began his famous “War on Drugs” campaign, which intended to keep the American public safe from hard drugs. One of these drugs, was marijuana. Almost 50 years later, the same laws are still upheld and little research has been done to update the data. Technology and scientific procedures have updates, so research and laws should be updated as well.

From the little data we do have, we know that CBD, the non-psychoactive ingredient of marijuana has medicinal effects. It is linked to the healthy release (unlike opiates) of dopamine and serotonin which are the “happiness” chemicals in our brain. This may be the reason why in some states, marijuana is used as a treatment for anxiety and depression. Children who suffer from severe forms of epilepsy have shown to have dramatic improvements with the introduction of CBD. The number of seizures that a child has may decrease drastically when treated with CBD oil. Marijuana is also known to help people undergoing chemotherapy treatment. It may not only help patients to regain their appetite through the reduction of nausea, but can also help reduce pain and reduce the body’s urge to regurgitate. Despite the potential of medical marijuana, further research is still barred by the government. Some suggest that the easiest way to completely legalize marijuana is if states vote to create a 28th amendment which would legalize marijuana, but that would still require ¾ of all states to vote in favor. Currently, 30 states have some laws which allow for marijuana to some extent (includes medical and recreational), but 8 more still need to reform for the possibility of a 28th amendment. The nation’s capital, Washington DC has already decriminalized the drug as well. With the current administration, marijuana will not be legalized federally. But with more and more people becoming aware of such issues, even the government will not be able to stop people from getting the medicine they need. It is clear in which direction the US is heading towards in this debate and it is only a matter of time until medical marijuana is legalized in all 50 states.

If you are struggling with substance abuse or any other kind of addiction, the psychologists, psychiatrists, and psychotherapists at Arista Counseling and Psychiatric Services can help.  Contact the Bergen County, NJ or Manhattan offices at (201) 368-3700 or (212) 722-1920.  Visit http://www.acenterfortherapy.com for more information.

Prescription Drugs and Side Effects

Prescription Drugs and their Side Effects

Emily Ramos

The truth of the matter is that many prescription drugs contain side effects. It is hard to predict whether or not an individual will experience side effects, it depends on how their body reacts to the drug. The good thing is that there are steps an individual can take to reduce the risks. If the side effects persist you can speak with your doctor who can prescribe a lower dosage or a different medication. DO NOT stop taking medication if you experience a side effect, always speak with your doctor. They might have to wean you off of the drug instead of stopping all together. Here’s how you can learn about possible side effects and how to avoid them:

  • Before getting prescribed medicine, ask your doctor about possible side effects that may occur. For example, if nausea is a side effect your doctor may recommend that you eat or drink before taking the medication.
  • Once you start taking medication take note of any symptoms that arise and tell your doctor about them. This will give your doctor a better understanding.
  • Other ways to prevent side effects are to make appropriate lifestyle changes. For example: if a medication causes you to gain weight you will have to pay more attention to your nutrition and incorporate exercise plans.

It may take a few trial and errors before your doctor is able to find a medication that works best for you. That is why it is crucial to be honest with your doctor before and after he or she prescribes medication.

If you or a person you know is struggling with medication, it may be beneficial to contact a mental health professional and receive therapy. The psychologists, psychiatrists, and therapists at Arista Counseling and Psychiatric Services can help. Contact the Bergen County, NJ or Manhattan offices at (201) 368-3700 or (212) 722-1920. Visit http://www.acenterfortherapy.com for more information.