Bipolar Disorder: Loving someone with bipolar disorder, the ups and downs

By Zoe Alekel

Loving someone with bipolar disorder can be a challenge if you don’t have the right tools and knowledge to help both you and your loved one. The first step in loving someone with bipolar disorder would be to understand what it means to be bipolar. Although you may never know exactly how your loved one feels, it is important to understand and educate yourself about their behaviors and emotions. According to the Mayo Clinic, bipolar disorder is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). To understand what your loved one is going through, it is key to remind yourself that your loved one can’t always control these emotional mood swings—and more importantly it is not a reflection of you or how they feel about you.

It is understandable that it can be difficult to understand these seemingly sudden and intense mood swings, and your loved one struggling with bipolar disorder may already know this and feel bad about how it affects you. Make sure you approach them with kindness, and always ask them what you can do to help them. Sometimes space and understanding that the mood swing will pass is enough support for your loved one. No matter how involved or uninvolved they want you to be with their mental health, always respect their wishes.

One thing you can do to help you cope with your loved one’s bipolar disorder is to find others that have loved ones with bipolar disorder as well. Additionally, you can reach out to a therapist to share your feelings and the struggles that you experience as someone who has a loved one diagnosed with bipolar disorder. A way you can further educate yourself on bipolar disorder is to visit the National Alliance on Mental Illness (NAMI) website. NAMI provides credible information for those with loved ones diagnosed with bipolar disorder, and suggests you can try the following to help a family member or friend with bipolar disorder:

  • Recognizing and preventing serious mood episodes/ mood swings
  • Being able to recognize the warning signs of mania and depression
  • Making sure your loved one is taking their medication regularly and consistently (as directed)
  • Communicating and making time to talk to your loved one about their feelings when they feel ready
  • Remaining calm and rational with your loved one
  • Keeping a positive attitude and a clear mind to help your loved one the best you can
  • Reaching out for psychological support for you and your loved one

If you or someone you know is struggling with bipolar 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://nami.org/About-Mental-Illness/Mental-Health-Conditions/Bipolar-Disorder/Support#:~:text=NAMI%20and%20NAMI%20Affiliates%20are%20there%20to%20provide,about%20bipolar%20disorder%20or%20finding%20support%20and%20resources.

https://www.psychologytoday.com/us/blog/insight-is-2020/201206/bipolar-disorder-loving-someone-who-is-manic-depressive

https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/symptoms-causes/syc-20355955#:~:text=Both%20a%20manic%20and%20a%20hypomanic%20episode%20include,sprees%2C%20taking%20sexual%20risks%20or%20making%20foolish%20investments

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Depression: Living with Major Depressive Disorder

By: Zoe Alekel

Have you been experiencing persistent sadness, anxiety, or feelings of emptiness? Even hopelessness, irritability, guilt, worthlessness, loss of interest or pleasure in activities or hobbies—these are all symptoms of Major Depressive Disorder (MDD). More commonly, MDD is known as depression. Dealing with this diagnosis is not easy because of how long these symptoms can last and how invasive they feel.

The Mayo Clinic defines MDD as “A mood disorder that causes a persistent feeling of sadness and loss of interest. Also called major depressive disorder or clinical depression, it affects how you feel, think and behave and can lead to a variety of emotional and physical problems. You may have trouble doing normal day-to-day activities, and sometimes you may feel as if life isn’t worth living” (Mayo Clinic). It is important to consider contacting a doctor or a therapist to discuss these symptoms, as they can become more severe and invasive with time.

Some ways you can reach help are:

  • Call your doctor or mental health professional.
  • Call a suicide hotline number — in the U.S., call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255).
  • Reach out to a close friend or loved one.

The National Institute of Mental Health suggests that the earlier the treatment begins with a therapist or a psychiatrist, the more effective it can be. Depression can be treated with psychotherapy, medication, or a combination. Additionally, meditation and mindfulness can help develop coping skills for those experiencing depression. If you are experiencing depression, it is important to remember that there is hope and there is a way out of the darkness you are experiencing.

If you or someone you know needs support with depression, please contact our psychotherapy office 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.mayoclinic.org/diseases-conditions/depression/symptoms-causes/syc-20356007
https://www.nimh.nih.gov/health/topics/depression/index.shtml

Image Source:
http://metamedianews.com/2018/06/mdd-major-depressive-disorder/

Acute Stress Disorder: Reliving Trauma

By: Zoe Alekel

It is not uncommon to experience a traumatic event in life. In fact, trauma related incidences range from experiencing a car accident, to experiencing an assault or witnessing a crime. All of these stressful situations can be lead causes to an anxiety disorder known as Acute Stress Disorder (ASD). According to the American Institute of Stress, ASD is defined by Post Traumatic Stress Disorder (PTSD)-like symptoms that occur for a short time after experiencing a trauma—an experience that can be emotionally distressful and painful, and that can cause mental and physical symptoms. After experiencing a traumatic event, it is not uncommon to develop ASD; in fact 5-20% of people that experience traumatic events will develop ASD.

Symptoms of ASD include intrusion symptoms, like involuntary distressing memories; negative mood symptoms, such as the inability to experience positive emotions like love and happiness; dissociative symptoms, like seeing yourself from the outside, the feeling that nothing is real and that time is slowed down; avoidance symptoms, such as avoiding thoughts, feelings, and places associated with the trauma; and arousal symptoms, such as trouble falling or staying asleep, irritable behavior, and difficulty concentrating.

This can be extremely overwhelming and invasive to someone who has experienced a traumatic event, and it is uncomfortable to feel as if you have to relive the event itself. However, ASD does not have to take over your life completely. By implementing an immediate therapeutic intervention right after the trauma, it decreases the likelihood of ASD becoming prolonged and turning into PTSD. Ways to manage the stress and anxiety that comes with ASD are mindfulness and relaxation, talking to a trained trauma specialist, and having a support system that you can confide in.

If you or someone you know is struggling with Acute Stress 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.stress.org/acute-stress-disorder https://www.psychologytoday.com/us/conditions/acute-stress-disorder

Sources:

https://www.stress.org/acute-stress-disorder

https://www.psychologytoday.com/us/conditions/acute-stress-disorder

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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

Marriage During Covid-19

By: Sarah Cohen

During Coronavirus, a lot of extra strain and anxiety have been placed on marriages. While research has shown that disasters uncover strengths in relationships it can also reveal issues. Even in the best relationships, we still always need a little bit of space from each other. 

Since Coronavirus has begun, applications for divorce have risen greatly in the Chinese city of Xi’an. While divorce rates do increase during times of stress, this is unprecedented. There aren’t just changes in routine and close contact without breaks, there are many other factors influencing marital stress during these times. An increased amount of new anxiety about health and keeping safe from Covid-19, unemployment and therefore financial insecurity, caring for elderly relatives with reduced strength immune systems, lacking social connection outside of the spouse, dealing with childcare and school issues, or simply managing chores and uncertainty about what will be in the future are just a few of the issues that could be causing marital stress. In addition, couples may be using different coping mechanisms during stressful times which clash with the other spouse. One might be active and attempt to be cheerful while the other might be hopeless and passive.

There are many ways to fight against this marital strain, here are a couple ways to combat it. By picking your battles you can limit the amount of arguments and issues you create in the home. Even further, you can put a time limit on your arguments in order for them not to affect every moment of the day, when the time limit is up you can put it all behind you. Create some alone time, when you make boundaries stick to them. Another way to get some alone time and be active is to exercise, even just by taking a walk. Speaking to other people over the phone or video chat so your spouse isn’t the only person you talk to is another good way to make sure you can have a little break. Lastly, focus on survival during these difficult times not creating issues and rifts between you and your partner.

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.psychologytoday.com/us/blog/the-discomfort-zone/202004/will-coronavirus-infect-your-marriage

https://time.com/5811146/coronavirus-married-relationship/

COVID-19: Parenting in a Stressful Time

COVID-19: Parenting in a Stressful Time

By: Alexa Greenbaum

Parenting in confinement during COVID-19 has many challenges. For many, the home has become the office and the classroom, making it more difficult to be productive and motivated. During this stressful time in isolation, it can be very difficult to keep children occupied while also working remotely, dealing with finances, and navigating the danger of the coronavirus. However, by creating structure, setting boundaries, and encouraging open communication, parents can improve their family dynamic.

Parents are having to take on more responsibilities than ever before. Especially in a very uncertain time, it is normal for children and parents to feel anxious, stressed, and overwhelmed. As a result, many parents and children are reacting to today’s stressors by acting out or regressing to behaviors long outgrown. Due to the additional stressors that come with COVID-19, parents are taking on too much which is causing parents to feel stressed, frustrated, and resentful. According to the APA’s Stress in America survey, “73% of parents report family responsibilities as a significant source of stress.” This can erode the feeling of mutual support and respect that is crucial to a healthy relationship.

To help, creating some structure in your life, such as a routine and designating a workspace for children to do their schoolwork and homework can be an effective way to set boundaries and help a family cope with stress. Thanking your child for allowing you to do your work, is an effective tool as it positively reinforces your child to continue giving you the space you need to be productive.

Sharing and designating daily responsibilities can improve the quality of a parent’s relationship with their children. Working together as a family and designating different tasks is something you and your children can control, and it teaches children to focus on those things they can control when feeling stressed.

To help parents create a healthy family dynamic in the climate of COVID-19, the way parents talk to their kids may need to be readjusted as well. Initiating regular open conversations with their kids. Giving your children your undivided attention can help a family work together to better understand, acknowledge, and address any stressors children are experiencing. Calming your children’s fears is important.

Take advantage of this time together, it can be an opportunity for your relationship with your kids to grow, but don’t forget to take care of yourself! For support, discussing experiences with friends, relatives, or a telehealth mental health professional can be helpful. At Arista Counseling, we have a multitude of different therapists that can help you.

If you or someone you know is looking for 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.apa.org/topics/covid-19/parenting-during-pandemic

https://www.apa.org/helpcenter/managing-stress

https://www.psychologytoday.com/us/blog/little-house-calls/202003/parenting-during-covid-19

Image Source:

https://www.parkview.com/community/dashboard/dealing-with-parenting-stress-during-covid-19

Anxiety and Bullying

Image result for anxiety and bullying

 

Anxiety and Bullying

By: Vanessa Munera

Being bullied is not an easy thing to handle. It can be a traumatic experience for teens that are being targeted. Those who are bullied experience impacts in their lives such as feeling lonely, anxious, isolated, and vulnerable. Unfortunately, when a bully moves on to the next target, these consequences of bullying linger longer for the victim. After prolonged exposure, victims of bullying can develop adverse effects. These victims will experience depression, eating disorders, and thoughts of suicide. In addition, victims of bullying can develop some sort of anxiety disorder. The top four major anxiety disorders victims of bullying can experience are Post-Traumatic Stress Disorder (PTSD), generalized anxiety disorder (GAD), panic attacks and social anxiety disorder.

  1. Post-Traumatic Stress Disorder (PTSD): this occurs after a traumatic or life-threatening event. PTSD can develop due to events such as a car accidents or losing a close relative. This disorder can also show up after repeated abuse or even bullying. Children who are bullied may experience nightmares, flashbacks, withdraw from others, or are easily startled. Kids, who undergo long term and abusive bullying, have increased chances of developing PTSD.

2. Generalized Anxiety Disorder (GAD): Kids with GAD are often tormented with worries and fear that distract them for their daily life activities. Those with generalized anxiety have a constant feeling that something bad is going to happen. This is not uncommon with victims of bullying. With GAD, physical symptoms may appear such as insomnia, stomachaches, fatigue, and restlessness.

3. Panic Attacks: Those who suffer from panic disorders must deal with unpredictable and repeated attacks. When suffering from a panic attack, the attack is usually with no warning and can cause physically symptoms. These symptoms include sweating, chest pain, and rapid or irregular heartbeats. In fact, a part of the brain called the amygdala plays a pivotal role in panic attacks. When left untreated, the sufferer will begin to avoid going out or things they once enjoyed, in order to prevent another panic attack.

4. Social Anxiety Disorder: People who suffer from social anxiety fear being humiliated or seen negatively by others. Those with this disorder often worry that the way they look or act cause others to mock them. This can cause sufferers to avoid social gatherings to avoid being humiliated. In fact victims of bullying often develop social anxiety due to the repeated shame and public humiliation they experienced.

If you or a loved one appears to be suffering from an Anxiety 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. For more information, visit http://www.counselingpsychotherapynjny.com/

 

References:

https://www.verywellfamily.com/bullying-and-anxiety-connection-460631

https://www.stopbullying.gov/blog

 

 

PTSD Researcher Finds Link between Stress and Trauma

By Diana Bae

Rachel Yehuda, PhD, is a distinguished researcher and Director of Traumatic Stress Studies Division at the Icahn School of Medicine of Mount Sinai. She has conducted numerous prominent post-traumatic stress disorder (PTSD) studies and treatment. One of her most well-known studies researched Vietnam War combat veterans with PTSD and found that they had significantly lower cortisol levels than veterans without PTSD. Cortisol is a hormone that controls stress and although it is thought that more cortisol resulted in more stress, Dr. Yehuda showed that that is not the case. Thus, there needs to be a sufficient amount of cortisol to handle stress and reduce the risk of developing trauma. Now, Dr. Yehuda plans to test a drug, oral hydrocortisone, to see whether it can replicate the cortisol naturally produced in the body. If this drug is successful, it may prevent PTSD and other similar disorders.

Arista Psychological and Psychiatric Services understands the problems caused by PTSD and are dedicated to provide proper attention and treatment. If you or someone you know would like to set up an appointment for our counseling services, contact us at our offices in Paramus, NJ (201) 368-3700 or in Manhattan, NY (212) 996-3939. For more information, please visit our website https://www.counselingpsychotherapynjny.com/

Source: Inside, a publication of the Mount Sinai Health System, Issue: November 25 – December 15, 2019;  Picture Source: http:// www. thesuburban.com/life/lifestyles/can-trauma-be-transmitted-intergenerationally-oct-dawson-college-peace-centre/article_ea2d7bb0-b063-11e7-aee3-5b0d013065f7.html, https:// askopinion.com/how-to-deal-with-ptsd-aka-post-traumatic-stress-disorder

Drug Abuse: Preventing Teen Drug Abuse

By: Toni Wright

Many teens are curious and experiment with drugs, whether due to peer pressure, stress at home, or just curiosity. According to Drugrehab.com in 2016 about 1.9 million youths ages 12 to 17 used an illicit drug in the past month. In addition to that, in 2016 1.4 million teens needed treatment for an illicit drug abuse problem. What many young teens don’t know in hindsight, or thoroughly think about, is that trying those drugs can have lasting long term effects that can change their lives forever.

Warning Signs:

  1. Changes in choice of dress
  2. Loss of interest in what they enjoyed (hobbies or activities)
  3. Decline in academic performance (failing classes, poor grades, skipping class, etc.)
  4. Recurring arguments, unexpected mood changes, and unspecified violent actions.

Family Influence

Parents, prevention can start within the household:

  1. Ask your teens perspective on drugs – Don’t lecture. Actively listen to your teens views on drugs. Reassure them that they can be open and honest with you.
  2. Discuss the negative impact drugs use can have – Emphasize how drugs can impact the things your teen cares about. For instance, health, appearance, school performance, etc.
  3. Go over ways to not give into peer pressure – Come up with different ways your teen can say “no” to drugs.

Overall, parents, you play a crucial role in your teen’s life. Provide support for your teen. Having a solid foundation between you and your teen may make them less likely to use drugs.

If you or a teen you know abuses drugs, 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.centeronaddiction.org/addiction-prevention/teenage-addiction

https://www.drugrehab.com/teens/

https://www.mayoclinic.org/healthy-lifestyle/tween-and-teen-health/in-depth/teen-drug-abuse/art-20045921

Image Source:

https://www.palmerlakerecovery.com/blog/signs-of-drug-abuse-in-teenagers/

A Substance Abuse Guide for Parents

 

 

Grieving Vs Persistent Complex Bereavement Disorder

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Grieving Vs Persistent Complex Bereavement Disorder

By: Karime Herrera

Coping with grief can be difficult. You are in complete disbelief that your loved one, family or friend is no longer a phone call away. When grief begins to drastically disrupt your life, it is best to seek professional help.However, some people might not know when it is necessary to seek help. At what point does grief turn into persistent complex bereavement disorder? Persistent complex bereavement disorder is when an individual has been experiencing severe grief symptoms for over twelve months. Some symptoms that a person with PCBD encounters are trusting people, hallucinations of the person who has passed away, suicidal thoughts, loss of interest in preforming daily tasks, and constant feelings of sadness. If you are experiencing these symptoms for an extreme period of time it is best to see a psychologist in order to help you cope with your loss. A licensed practitioner can treat PCBD with cognitive therapy, mindfulness, psychotherapy or a combination.  Mediation might be helpful in relieving the symptoms and often helps individuals suffering from PCBD continue with their daily lives.