Conflicts/Anger

Discipline and the Effects of Yelling at a Child

GalleryJudy Gurfein Leave a comment

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

Marriage During Covid-19

GalleryJudy Gurfein Leave a comment

    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

    GalleryJudy Gurfein 1 Comment

    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

    Abuse: Men in Abusive Relationships

    GalleryJudy Gurfein Leave a comment

    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

     

    Relationships: The Impact of Attachment Styles

    GalleryJudy Gurfein 1 Comment

    Relationships: The Impact of Attachment Styles

    Relationships: The Impact of Attachment Styles

    By: Julia Keys

    Did you know that the way one develops an attachment to their mother as an infant has a profound effect on their adult relationships? Attachment styles were first studied in detail by the developmental psychologist Mary Ainsworth in her experiment called “the strange situation”. In the strange situation, Ainsworth had a mother and a child play together for about three minutes and then the mother left the room. Next, a stranger would enter the room and play with the child for about three minutes and then they would leave. Finally, the child’s mother would re-enter the room and resume playing with their child. Ainsworth was most interested in observing the child’s behavior when their mother re-entered the room.

    Upon careful examination, Ainsworth found three distinct patterns of behavior in infants when their mothers re-entered the room. If the child was upset, but then easily soothed by their mother upon re-entry, Ainsworth deemed them as having a secure attachment style. If the child was indifferent to their mother upon re-entry, Ainsworth would label them with an insecure avoidant attachment style. Finally, if the infant shows conflicting behavior upon the mother’s re-entry such as clinginess and then subsequent rejections of affection, Ainsworth would say they had an insecure ambivalent attachment style. Insecure ambivalent children are unpredictable in terms of their parental reactivity.

    Ainsworth hypothesized that children’s reactions were a result of how their parents responded to their needs. Hypothetically, infants with secure attachment styles have their basic needs met consistently by their parents. This leads the secure infant to show a healthy dependence on their parents. Infants with an insecure avoidant attachment have their needs minimally met by their parents, which leads them to be independent and self-soothing. Infants with insecure ambivalent attachment styles have their needs met inconsistently from their caregivers, which results in confusion and conflicting behaviors.

    So how does this “strange situation” relate to people later on in life? Researchers have found that attachment styles follow infants into adulthood and impact their behavior in relationships. While the behavior infants exhibited in the experiment relied on whether or not basic needs such as food, water, or comfort were met, attachments styles in adults tend to manifest themselves in more complicated ways.  Secure adults tend to have healthy and satisfying relationships where they can receive and offer support as needed.  Avoidant adults seek independence in relationships and oftentimes can appear a bit callous to their own emotions. Avoidant adults aren’t likely to offer support to their partners because they rarely depend on it themselves. Finally, ambivalent adults fear being either too close or too far from their partner, causing them to feel confused by their feelings and act in unpredictable ways in the relationship.

    Although attachment styles are habits that people have probably been practicing subconsciously for all their lives, they are not permanent. Individual or couples therapy can help those struggling with their own emotions or communication skills.

    If you or someone you know is struggling 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 http://www.counselingpsychotherapynjny.com/ .

    Sources:

    https://www.simplypsychology.org/mary-ainsworth.html

    https://www.psychologytoday.com/us/blog/compassion-matters/201307/how-your-attachment-style-impacts-your-relationship

    Source for Picture:

    https://www.bing.com/images/search?view=detailV2&id=DF3FB2F4C4A9AF591D1BF6EA44071E6C780F6937&thid=OIP.P_BQQ_87MEADJ_8AobvpHQHaE8&mediaurl=https%3A%2F%2Fcarehere.com%2Fwp-content%2Fuploads%2F2016%2F07%2Fcouple_walking.jpg&exph=1280&expw=1920&q=couple+on+a+walk&selectedindex=6&ajaxhist=0&vt=0&eim=1,2,6

     

    Narcissism

    GalleryJudy Gurfein Leave a comment

    Narcissism 

    Narcissism

    By: Julia Keys

    It is common in today’s world to call someone who is very clean “OCD”, or someone who is very active “ADHD”, or someone who is overly confident a “narcissist”.  What many people do not know is that narcissism is not an adjective to describe someone’s personality, but a real psychiatric diagnosis. The DSM IV identifies narcissism as a personality disorder. Personality disorders are characterized by a set of rigid traits, thoughts, and behaviors that are unhealthy and inflexible. Narcissistic personality disorder or (NPD) is characterized by an overinflated sense of self, preoccupation with personal success, and apathy for other’s emotions.

    Signs of narcissistic personality disorder:

    • Grandiose sense of self-importance
    • Preoccupation with fantasies of success, power, brilliance, beauty.
    • Belief that one is unusually special or unique
    • Need for excessive admiration
    • Strong sense of entitlement
    • Exploitative of others
    • Lacks empathy
    • Is often envious of others or believes that others are envious of them
    • Frequent display of arrogant or haughty behavior

    Although people with NPD display an arrogant and larger-than-life picture to the outside world, they can also suffer from low self-esteem internally. The constant need for approval and obsession with success can be stressful because in reality, one will never gain approval from everyone and one will never achieve everything they want.  Trouble with interpersonal relationships often results from the exploitative and apathetic behaviors that people with NPD believe will help them achieve their goals.

    People with NPD can look like the perfect partner upon first meeting. They are often charismatic and appear to be very put together. However, being in a relationship with a person with NPD can be complicated and stressful. People with NPD lie frequently to get what they want, which can cause a breach of trust in a serious relationship. People with NPD rarely apologize because they lack the empathy to understand the point of view of their partners. Additionally, people with NPD think that they are perfect and will dismiss others who have opinions contrary to theirs. Although people with NPD can be extremely difficult to live with, they can still be a loved one that you care about.

    If you or someone you love has narcissistic personality disorder and is struggling with the symptoms, 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://psychcentral.com/disorders/narcissistic-personality-disorder/

    https://www.psychologytoday.com/us/blog/mind-games/201905/five-narcissistic-traits-harm-intimate-partner

    Source for Picture:

    https://www.google.com/search?biw=1391&bih=654&tbm=isch&sa=1&ei=UenvXLaCJeWJggeP6ZHYAw&q=narcissus+myth&oq=narcissus+&gs_l=img.1.1.0j0i67l3j0j0i67l2j0j0i67l2.620.620..2327…0.0..0.69.69.1……0….1..gws-wiz-img.eaqpLt3PV-c#imgrc=fUnycKFz1Mb7jM:&spf=1559226710308

    Learning How to Face Rejection

    GalleryJudy Gurfein 1 Comment

    rejection

    By: Tamar Asayan

    Everyone has experienced rejection whether it was not getting the job you wanted, your friends not inviting you somewhere and posting about it online, or even having someone not like you back. Rejection is the loss of something you may have once had or wanted. It is similar to abandonment because it leaves you feeling less than and unwanted. Unfortunately, rejection is something that cannot be avoided and it is a part of life that everyone will have to experience. No matter how small or big the rejection you experience is, it is always going to hurt you and leave an emotional wound. Not only does rejection cause emotional pain, but it also damages someone’s self-esteem and effects one’s mood resulting in frustration and anger. An article, “Why Rejection Hurts So Much-and What to do About it” states, “The same areas of our brain become activated when we experience rejection as when we experience physical pain. That’s why even small rejections hurt more than we think they should, because they elicit literal pain” (Winch). If you are feeling the pain of being rejected here are some ways to cope and overcome it in healthier ways.

    1. Acknowledge the pain and grief of loss
    • When you are rejected, you may feel embarrassed and don’t know how to exactly cope with it. You may repress your feelings and ignore the fact that you are in pain.
    • In order to accept rejection, you must accept the pain of what you are going through. Whether it is crying, going to therapy, exercising, or even journaling, it is important to relieve and express the emotions faced when being rejected.
    1. Don’t blame yourself
    • Most of the time you don’t understand why you have been rejected and naturally you place the blame on yourself.
    • The reason you believe you are at fault is because early in life you may have been taught to believe that you are not enough.
    • Do not take responsibility for what is out of your control.
    1. Put yourself out there
    • Rejection is part of the process which leads to success. Do not take it personally, it’s part of life.
    • Putting yourself out there can make you less sensitive to rejection; the more you are rejected the less it hurt us.
    1. Build your resiliency
    • To be resilient is to be able to recover or come back from a stressful or traumatizing event.
    • Resiliency can be learned by doing some of the following:
      • Having an open mind
      • Seeking solutions
      • Learning from an experience
      • Seeking support
      • Knowing your worth and strengths
      • Self-care

    If you or someone you know is feeling rejected or dealing with rejection, call now to make an appointment to speak with one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists. Contact us at our Paramus, NJ (201) 368-3700 or Manhattan, NY offices at or (212) 722-1920 to set up an appointment. For more information, visit http://www.counselingpsychotherapynjny.com/.

    Sources: https://psychcentral.com/blog/how-to-overcome-rejection-like-a-champ/

    https://ideas.ted.com/why-rejection-hurts-so-much-and-what-to-do-about-it/

    https://blogs.psychcentral.com/imperfect/2019/02/4-strategies-to-cope-with-the-pain-of rejection/

    Image: https://www.dailymail.co.uk/femail/article-1327598/Why-rejection-good-you.html

    Confrontation Vs. Feedback

    GalleryJudy Gurfein Leave a comment

    Confrontation Vs. Feedback

    By Toniann Seals

    At some point in your life you will face a confrontational situation. A few scenarios include telling a friend about your feelings, letting a coworker know that their work is incorrect and explaining to a peer that a decision they made was not okay. How you approach these situations matter.

    Confrontation (Negative):

    • Problem oriented
    • Unwelcoming
    • Assertive
    • Aggressive
    • Belittling

    Feedback (Positive):

    • Solution oriented
    • Inviting
    • Understanding
    • Guiding
    • Uplifting

    The way you handle a situation will affect both you and the one receiving the information. A great way to face a problem is by always having a solution readily available to suggest. It shows that you care and want to make the situation better.

    If you or someone you know is having a difficult time dealing with confrontation speak with one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists. Contact us at our Paramus, NJ or Manhattan, NY offices at (201) 368-3700 or (212) 722-1920 respectively to set up an appointment. For more information, visit http://www.counselingpsychotherapynjny.com/.

    Image:

    https://canada.businesschief.com/marketing/796/The-Dreaded-Social-Media-Confrontation

    Couples Counseling: The Benefits

    GalleryJudy Gurfein Leave a comment

    By Stephanie Osuba

    According to PsychCentral.com, there are many reasons why people chose to participate in couples therapy, as well as many reasons they don’t. The common reason couples usually don’t consider counseling is out of embarrassment or the stigma that surrounds the intimate details of one’s personal relationship. The stigma dictates that only people who are in a very broken state in their relationship can benefit from couples counseling. However, no relationship is perfect and sometimes even the most socially competent of us need the help of a professional. Psychologists can help couples identify key problems in the relationship in a structured way that acknowledges the feelings of both parties. Although it’s never easy to reopen past wounds, it is the only way to push through to a place of understanding with a partner. Sessions can also determine whether the relationship needs some fine-tuning, a complete rebuilding, or a separation of ways.

    Here are some benefits of couples counseling:

    • Improved communication skills
    • Increase in emotional and physical connection
    • Life plan development
    • Resolving conflicts in a structured way
    • Building a healthy relationship ­– ultimately leading to individual growth as well

    Common issues couples hope to resolve in therapy: infidelity, poor communication, financial issues, parenting or co-parenting, work and career, emotional and physical intimacy, separation or divorce, abuse, grief and loss, and life transitions.

    If you or someone you know appears to be having marital problems, 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/

    Communication Differences Between Genders

    GalleryJudy Gurfein Leave a comment

     

    By: Dianna Gomez

    Where would the world be without communication? Whether it be conscious or unconscious, we communicate in one way or another with those around us every minute of every day. We communicate in the work place, in relationships, with our friends and family – sometimes even when passing by strangers walking down the street. You would think that with the amount of communicating we do as a human species on a daily basis, we would have it all down to a “ T ” by now but that is far from the truth. Every once in a while we experience miscommunication and other frustrations related to interacting with the people around us. In order to improve the quality of communication in one’s own life, it is important to begin by understanding the different methods of communication between each gender. There are so many fundamental differences regarding the way in which men and women behave and think when it comes to communication. On average, women tend to speak more than men and when each gender is communicating, they do so for different reasons and from different perspectives.

    Here is a list of these differences:

    1. Reasons For Talking
    • Men believe that communication should always have a clear purpose. Whether there is a problem in need of a solution or a specific question needing an answer, men use communication to get to the bottom of any topic of conversation in the most efficient way possible. On the other hand, a woman views communication as a way to discover how she may feel about something. Women like to lay all the potential pros and cons out on the table and discuss each more thoroughly. When it comes to relationships, communication is a way in which women increase intimacy with their significant others. They share their thoughts to rid themselves of any negative feelings they may be having.

    2. How Much Should Be Said

    • Similarly to the first point, men always put productivity and efficiency at the very top of their lists. When telling a story, men only share the details that are absolutely necessary to get to the point. Women tend to share as much detail as possible, even if it isn’t necessarily needed. This is often times why men may interrupt women half way through an explanation when they have already received the point that is ultimately trying to be made.

    3. What Does It Mean To “Listen?”

    • When a woman first initiates a conversation with a man, she assumes they are doing so to obtain some type of advice or assistance. They automatically think to themselves “what can we actually do about this?” From the woman’s perspective, having the conversation all on it’s own is a way of finding a solution to any problem. Women just want to feel like they are being heard and understood, and if they feel this is happening any problem will already feel partially solved.

    Communication is so important in every aspect of our lives. Especially when it comes to having relationships with significant others, if these fundamental differences aren’t already understood, there will be many disagreements and arguments about things that there wouldn’t be otherwise. Regardless of what gender you are, the next time you find yourself feeling frustrated when communicating with the opposite sex, take a step back and try to see the situation from their point of view. If this is done over a long enough period of time, you will find that life will soon go a lot smoother in all areas of your life.

     

    If you or anybody you know may be having trouble with communication or may be having relationship problems they can’t seem to resolve, 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 us at http://www.counselingpsychotherapynjny.com/.