Grieving Vs Persistent Complex Bereavement Disorder

loneliness

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.

Stress: Effects of Stress

Image result for stressed brain

Stress: Effects of Stress

By: Vanessa Munera

When people talk about stress, what exactly is it? Stress is the body’s reaction to any change that requires an adjustment or response. With stress the body reacts to these changes with emotional, physical, and mental responses. Stress could either be presented as a positive or negative outcome in people’s daily lives.

According to Bernstein “Stress can occur in a variety of forms” (2016). Some stress can result in short events such as an argument with a loved one. Furthermore, other stress can manifest due to reoccurring conditions; for example, a demanding job, financial problems, and/ or long term illness. When reoccurring conditions cause stress to be both intense and sustained over a long period of time, it can be considered as “chronic” or “toxic” stress”. While all stress triggers physiological reactions, chronic stress is indeed to be considered a problematic issue that creates significant harm to the brain and the functioning of the body. In fact, “stress continues to be a major American health issue”.

If you have experienced a stressful event, a certain area of the brain called the amygdala, responsible for emotional processing, sends a distress signal to the hypothalamus. The hypothalamus functions as a command center in the brain, communicating with the rest of the body through the nervous system so that person has the energy to fight or flee”. The sympathetic nervous system is responsible for the “fight or flight” response because it provides the body with a burst of energy so that it can respond to perceived dangers. Some of the affects from the “fight or flight” response are increased heart rate, deeper intake of oxygen, heightened senses, and the rush of adrenaline – also known as epinephrine, a hormone secreted by the adrenal gland. Finally a hormone known as cortisol is released to help restore the energy that was lost during the response. When stress is no longer present, your cortisol levels to go back to normal as if nothing happened. In addition cortisol helps regulate metabolism and immune responses.

When dealing with chronic stress, cortisol levels are at a constant high, which eventually causes health problems. Although cortisol is a natural and healthy hormone in the body, constant high levels of it can be bad for your brain. High levels of this hormone can wear down the brain’s ability to function properly. As stated in the article, “it can disrupt synapse regulation, resulting in the loss of sociability and the avoidance of interactions with others” (Bernstein, 2016). In addition, chronic stress can kill brain cells and cause the brain to shrink in size. It has a shrinking effect on the prefrontal cortex which is responsible for memory and learning. Besides chronic stress having effects on the brain, it causes effects to the human body. This type of stress can increase the risk of heart disease, high blood pressure and diabetes. Furthermore, it can affect other systems in the body and cause them to stop working properly. This includes digestive, excretory and reproductive structures and exacerbates already existing illness. Fighting and managing chronic stress can be difficult; however it is not too late to learn how to manage it. Toxic stress can negatively affect the brain but the brain and body can recover from these effects.

If you or someone you know is suffering from chronic stress and are seeking stress management, please 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.tuw.edu/health/how-stress-affects-the-brain/

 

Abuse: Men in Abusive Relationships

By: Toni Wright

A relationship is supposed to be a union between two people where both parties feel safe and comfortable with one another. They are supposed to feel loved, accepted, and appreciated by one another. However, sometimes that is not the case. Oftentimes people talk about how the woman in the relationship is being abused by the man. However, we should not overlook the fact that men are often being abused in relationships. Though it may not be widely spoken about, the man can be and sometimes is the victim in the relationship.

Abuse is not always domestic; it can be verbal and/or emotional.

Your partner may show signs of:

Possessiveness:

  • They are constantly keeping track of your whereabouts i.e. wanting to know what you’re doing, where you are, and who you’re with most if not all of the time.
  • They try to control where you spend your time and who you spend it with and if you don’t listen to them, they get angry.

Jealousy:

  • They isolate you from your loved ones, family and friends
  • They accuse you of being disloyal to them or flirting with others.

Threats:

  • They threaten to leave you or threaten to hurt themselves if you leave.
  • They threaten to use violence against you or your loved ones.

 

Physical/Sexual Violence:

  • They hurt you or your loved ones.
  • They push, shove or punch you, or make you have sex with them or do something that you don’t want to do.

Humiliation:

  • They belittle you in front of family, friends, or even on social media by attacking your looks, intelligence, abilities, or mental health.
  • They blame you for the issues in your relationship and for their violent blowups.
  • They say hurtful things to you, such as, “No one else is ever going to love you.”

Men, it may be hard to leave an abusive relationship for numerous reasons such as you may feel as though they actually do love you despite their behavior, you feel ashamed, you want to protect your partner, have a lack of resources, the list goes on. However, help from your family, friends, and a therapist can aid you through this trying time. Being a battered partner is nothing to be embarrassed about. Please don’t ever be afraid to reach out to any/all of your resources for assistance.

If you or a male you know is suffering from any type of abuse in a relationship, 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 https://www.counselingpsychotherapynjny.com/

Sources:

Help for Men Who Are Being Abused

https://psychcentral.com/blog/21-warning-signs-of-an-emotionally-abusive-relationship/

https://au.reachout.com/articles/signs-of-an-abusive-relationship

Image Source:

Battered Men – The other side of Domestic Violence

 

Healthy Communication Skills

By: Toni Wright

Oftentimes when we’re communicating it’s just to respond and we’re not actually actively listening. Communication needs to not only be about active listening, but about listening to understand and comprehend. There are numerous ways to improve one’s communication skills with others, whether it is familial, platonic, or romantic.

1) Speak face to face – Texting is not beneficial when it comes to trying to communicate effectively. Pick a time where both parties are able to meet face to face. This way both parties are directly focused on one another and things are less likely to get misconstrued as they might through text.

2) Use “I” statements – When issues occur using “I” statements help the person feel less attacked. An alternative to saying, “YOU made me angry when…” is “I was feeling angry when THIS happened.”

3) Don’t interrupt or try to redirect the conversation to your worries – For instance, “If you think your day was bad, let me tell you about mine.” Actively listening and waiting to speak is not the same thing. One cannot actively listen and also think about what they’re going to say next when the other person is done speaking. The speaker will be able to tell that you are not giving them your full attention.

4) Look for compromise – Instead of focusing on who’s right or wrong or “winning” an argument try to settle in a place where both parties are happy. Whether it’s through compromise or finding an entirely new solution, it is important that both parties feel that they are getting what they want.

5) If you need help reach out for it – Sometimes communicating isn’t easy and during conflict it may be even more difficult to try and stay respectful or if the conflict doesn’t seem to be improving with solely just the two parties involved, it may be beneficial to see a therapist. Therapy can help one find new strategies to use when communicating that can be used to avoid future conflict.

If you or someone you know has trouble communicating and/or resolving conflict, 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.marriage.com/advice/relationship/effective-relationship-communication-skills/bb

https://www.helpguide.org/articles/relationships-communication/effective-communication.html

https://www.verywellmind.com/managing-conflict-in-relationships-communication-tips-3144967

Image Source: https://www.marriage.com/advice/communication/communication-with-partner/

 

When Fears Become Extreme

By Diana Bae

With Halloween coming next month, spooky decorations and fake spider webs begin to appear and spark a little bit of fear in all of us, as we prepare for the scares to come. Feeling afraid or scared is normal because fear allows us to be alert and safe in case of possible danger. However, when the fear persists and starts intruding our lives, it may be a phobia.

Phobias are severe fears that cause persistent anxiety over certain circumstances or objects. They can come at small to large intensities and cause distress. Some common phobias include animals (spiders), social situations (public speaking), and even the natural environment (heights).

However, there is a chance that these phobias will develop into a harsher anxiety disorder and cause distressing panic attacks. Trying to handle phobias without assistance can backfire and produce stress and anxiety due to avoidance. Thus, with the proper treatment, a person can learn how to face the phobias and reduce their feelings of panic and fear.

Arista Psychological and Psychiatric Services understands the difficulty of overcoming phobias alone and, thus, are dedicated to help those seeking for 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. Also, please visit our website https://www.counselingpsychotherapynjny.com/

 

Sources

https://www.apa.org/helpcenter/anxiety

https://www.psychologytoday.com/us/basics/fear

https://www.psychologytoday.com/us/blog/think-act-be/201603/where-do-fears-and-phobias-come

Image Source: https://www.nytimes.com/2017/10/26/well/live/fear-anxiety-therapy.html

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:

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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

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Antidepressants: What Happens When You Stop Taking Your Medication

Antidepressants: What Happens When You Stop Taking Your Medication

Antidepressants: What Happens When You Stop Taking Your Medication

By: Julia Keys

Anti-depressant discontinuation syndrome occurs when a person suddenly stops taking their anti-depressants. Sometimes individuals decide to go off of their medication because of side effects such as weight gain, nausea, or sexual dysfunction. Another common reason why individuals stop their medication “cold turkey” is because they may feel as if the medication has changed their personality. Anti-depressants are not meant to change one’s personality, but sometimes they can cause fogginess or fatigue which can make the patient feel “not like themselves” or “out of it”. However, abruptly going off medication can cause symptoms that are more painful and severe than the side effects one might feel on an anti-depressant that is not right for them.

The effects of anti-depressant discontinuation can be felt as early as a couple hours to as late as a couple days after missing a dose depending on the type of anti-depressant. Symptoms are typically ameliorated within six to twenty four hours after taking the missed dose.

Symptoms of Anti-depressant discontinuation syndrome:

  • Nausea
  • Chills
  • Headache
  • Vomiting
  • Problems with balance
  • “brain zaps” or “brain shocks”, the sensation of a jolt of electricity running through the head, neck or limbs
  • Anxiety

Unlike illegal drugs, phasing out of anti-depressants can be a painless process if done correctly. In order to go off of anti-depressants successfully, one must slowly wean themselves off the medication with the help of a psychiatrist or psychiatric nurse practitioner.

Tips to prevent or minimize anti-depressant discontinuation syndrome:

  • NEVER stop taking medication without talking to your doctor
  • Follow your doctor’s directions exactly when going off your meds. If you start to feel any of the symptoms of anti-depressant discontinuation syndrome contact your doctor as soon as possible
  • Set a reminder on your phone or computer to take your medication each day
  • Always keep your medication in the same place
  • Make sure to keep on top of your doctor’s appointments by putting them in a calendar so that you will never run out of medication by accident

If you are struggling with mental health issues and are in need of treatment, 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.aafp.org/afp/2006/0801/p449.html

https://www.aafp.org/afp/2006/0801/p449.html

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Passive Aggressiveness: Origins and How to Respond

Passive Aggressiveness: Origins and How to Respond

By Crystal Tsui

At one point or another, we have all seen or engaged in passive aggressive behaviors, whether it’s giving the silent treatment, making subtle insults, or sending one of those “as per my last email” emails. We do this because we are suppressing our anger or frustration from someone or something. Fear and anger are controlled by a region in the brain called the amygdala. Passive aggressiveness stems from that basic emotion of anger.

Anger is neither good nor bad. It is a basic, spontaneous, neurophysiological part of human emotion. As children, we were often scolded or punished for expressing anger. For example, throwing a temper tantrum is considered unacceptable. So at a young age, we started to perceive anger as taboo. As a result, we learned to suppress our feelings and engage in an indirect expression of hostility through subtle acts.

Children are most likely to act in a passive aggressive manner. Nonetheless, children are the most susceptible to change. Teaching our children that anger is just like every other emotion and directing their anger towards a positive, productive activity will help the child grow into an adult knowing how to manage their emotions properly. Some positive activities may include writing, exercising, drawing, meditating, and listening to music. These activities provide a form of distraction that can alleviate one’s mood, by stimulating another part of the brain that is not associated with the amygdala.

However, adults act this way as well because it’s easier to be passive than to be assertive and emotionally open. When children are taught to suppress their anger and they mature into an adult, it’s harder for them to stand up for themselves and to confront their source of anger.

It is best to avoid raising your voice, lecturing, or knee-jerk consequences that can exacerbate the situation. If an individual is trying to express their anger through communication, it is best to listen instead of reprimanding them for being angry.

When someone is passive-aggressive towards you, fight the urge to mirror their behavior. Instead confront the behavior because when passive-aggressive behavior is confronted directly and assertively, the hidden anger is weakened. Assertive communication and being emotionally open, no matter how hard it is, is the most effective way to acknowledge and accept anger. This builds a foundation for lifelong emotional intelligence and strong, secure relationships.

If you or someone you know has difficulty managing their anger, 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/passive-aggressive-diaries/201712/the-angry-smile-responding-passive-aggressive-behavior

https://www.psychologytoday.com/us/blog/passive-aggressive-diaries/201709/how-respond-effectively-young-persons-anger

https://www.verywellmind.com/what-is-passive-aggressive-behavior-2795481

https://vignette.wikia.nocookie.net/pixar/images/7/7a/Io_Anger_standard2.jpg/revision/latest/scale-to-width-down/2000?cb=20150425021210

Antidepressants

Antidepressants

By: Lauren Hernandez

            If you or someone you know has been seeing a psychiatrist or psychiatric nurse practitioner for treatment of depression, there are various types of antidepressants a mental health provider can prescribe. It is important to be familiar with different types of antidepressants in order for you, as the patient, to understand what the medication actually does on a neurological level.

The most common type of antidepressant prescribed is a Selective Serotonin Reuptake Inhibitor, known as an SSRI. SSRIs mainly treat depression but they are also effective in the treatment of anxiety disorders, Obsessive-Compulsive Disorders, and Post Traumatic Stress Disorder. Serotonin is a neurotransmitter in the brain which impacts your mood, sexual desire, appetite, sleep, memory and learning as well as other similar functions. On a neurological level, SSRIs prevent serotonin reabsorption which builds up serotonin in the synapse. This allows receptors to receive the signal and react with the optimal amount of serotonin. People suffering from major depressive disorder and anxiety disorders typically have lower serotonin levels. By preventing reabsorption in the synapse via medications, symptoms of these disorders may decrease. In 1987 Prozac was the first approved for treatment of those with depression and became one of the most prescribed antidepressants. Other common SSRIs include Lexapro, Paxil, Zoloft, and Celexa.

Serotonin and norepinephrine reuptake inhibitors, SNRIs differ from SSRIs in that they block the reabsorption of serotonin and norepinephrine. Norepinephrine is a neurotransmitter that influences hormones and the “fight or flight” response in the brain. Approved SNRIs include Cymbalta, Pristiq and Effexor XR.

Some of the other common types of antidepressants prescribed include norepinephrine and dopamine reuptake inhibitors (NDRIs) which block the reabsorption of norepinephrine and dopamine. This is only seen to be effective in the medication bupropion, which is also known as Wellbutrin. Other types of antidepressants that are less common include Tetracyclics (TCA’s), Monoamine Oxidase Inhibitors (MAOI’s), and Serotonin Antagonist and Reuptake Inhibitors. These older medications are not prescribed as frequently because of the development of newer medications that effectively decrease symptoms and have fewer side effects.

Medication is helpful; however, it is most effective when used in combination with different types of psychotherapy or support groups. If you or someone you know is struggling with depression or any type of anxiety or mood disorder, it is important to seek professional help from a psychiatrist or psychiatric nurse practitioner who can provide antidepressants as well as support through talk therapy. If you or someone you know is currently taking antidepressants, it is extremely important to continue taking the medication and avoid discontinuations.

If you or a loved one is suffering from depression, anxiety, or a mood disorder, please contact 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.mayoclinic.org/diseases-conditions/depression/in-depth/antidepressants/art-20044970

https://www.webmd.com/depression/how-different-antidepressants-work#1-3

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