therapy

Depression; Treatment

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Depression; Treatment

By: Samantha Montague

People with depression need treatment. There are several ways that people with depression can be helped, such as through psychotherapy, medicine, or both simultaneously.

Psychotherapy is speaking with a trained professional about your feelings in order to help manage your thoughts, feelings and behaviors that may be contributing to depression.

Medication is another option for treating depression. Antidepressant medications are used to increase activity of neurotransmitters, chemicals in the brain to relieve the symptoms of depression. These medications are not addictive, and are safe to use when prescribed by a doctor.

With both psychotherapy and medication, a trial and error process may be needed to determine what works best. However, when you find what works for you, treatment helps most depressed people feel better in a matter of weeks. Regardless of the extent to which it is working, in general any treatment is better than no treatment.

Overall, when you are feeling low for a long time, and your problems feel out of your control, remember there is help out there. You are not alone, and can ask for help. If you know someone who you think is depressed, encourage them to ask a responsible adult about treatment. If they don’t ask for help on their own, talk to someone you trust and respect. This is especially critical if there is mention of suicide. 

If you or someone you know is struggling with depression, 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 and 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/.

Reference: NIMH

Self-Love: Learning to Love YourSELF

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Self-Love: Learning to Love YourSELF

By: Michelle Cocone

February is known to be the month of love, spreading love to our loved ones. We spend a lot of time trying to share that love that we often forget about ourselves. It’s important to learn how to love yourself. It helps us lead a healthier life and have better mental health. When we don’t love ourselves, it takes a toll on us, possibly leading to depression, anxiety, or an eating disorder. There are many ways to show love to ourselves, here are a couple ways.

Shift Your Perspective

  • Focusing on the bad aspects of ourselves won’t lead to anywhere good
  • Shift your perspective towards a more positive outlook
  • Don’t always see the cons, recognize the pros as well, they need love too

Affirmations

  • Write out a list of what you like + love about yourself
  • Tell yourself that you appreciate all parts of  your body/personality
  • Embrace the beauty of it all
  • Remember your body does plenty of work to keep you going every day
  • Keep telling yourself all these affirmations throughout the low points you may have

Practice Self-Love

  • Focus on the hobbies that you enjoy
  • Pour yourself  into becoming better at your hobbies
  • Be kind to yourself, you only have one body, so take care of it
  • Learn to forgive yourself when you haven’t accomplished everything you hoped for
  • Learn to forgive yourself when you aren’t kind to yourself
  • It’s okay to say “No.” You don’t have to please others all the time.

The most important relationship you can have is with yourself.  You may have heard this saying once or twice but it’s true, “Learn to love yourself first so you can spread love to others.”  Make time to focus and nourish your own self. It doesn’t all get done in one day. As long as you work on yourself a little bit every day that’s all that matters.

If you or someone you know is struggling with self-love, 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 and 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/

References

Improving every area of your life starts with self-love. Improving Every Area of Your Life Starts with Self-Love | Tony Robbins. (n.d.). https://www.tonyrobbins.com/ultimate-relationship-guide/how-to-fall-in-love-with-yourself?srsltid=AfmBOoq4CvACby5hWenBdEGAH5zBgxAPOtKzEvtobHDRZ6cGfT9MaFtn


Pomlett, M. (2020, December 21). Learn how to self-love. Psychological Health Care. https://www.psychologicalhealthcare.com.au/blog/learn-how-to-self-love/

Stigma Surrounding Therapy

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Stigma Surrounding Therapy

By: Maria Koutsothanasis

Therapy is a tool that supports individuals struggling with mental health and different aspects of their lives. Despite the growing conversations about mental health, there continues to be stigma surrounding it. Due to the stigma, individuals find it difficult to seek support through therapy due to fear of judgment, shame, or cultural expectations.

Common Misconceptions about Therapy

  1. Therapy is only for “crazy” people.
    Many people still associate therapy with severe mental illness and believe it’s only for those experiencing extreme mental health conditions. Therapy can benefit any individual, regardless of the severity of their situation. Therapy is about growth, coping with life’s challenges, and improving overall mental well-being.
  2. Therapy takes too long or is not effective.
    Some fear that therapy is a lengthy process that will not have results. While the length of therapy depends on the individual’s needs, many individuals find that even a few sessions can lead to meaningful improvements. Therapy is not a quick fix, but it is an investment in long-term mental health.
  3. Only “weak” people need therapy.
    A common misconception is that seeking therapy is a sign of personal weakness. On the contrary, therapy is a sign of strength and courage. Therapy helps individuals confront their emotions and commit to bettering themselves. Many individuals believe therapy to be an invaluable tool for growth; instead, it promotes emotional resilience.

Breaking the Stigma

Breaking the stigma surrounding therapy is essential for creating a more supportive and open environment for society. The idea of seeking therapy can still feel uncomfortable for many individuals due to the misconceptions that treatment is only for those facing serious mental health issues, with therapy often viewed as something reserved for those with severe problems. These misconceptions prevent many from seeking the help they need. By normalizing therapy and highlighting its benefits, an environment can be created where mental health care is as accessible and accepted as physical health care.

If you or someone you know is seeking 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 & Psychiatric Services. 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/

Mayo Foundation for Medical Education and Research. (2017, May 24). Mental health: Overcoming the stigma of mental illness. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/mental-illness/in-depth/mental-health/art-20046477

Saporito, J. M., Ryan, C., & Teachman, B. A. (2011). Reducing stigma toward seeking mental health treatment among adolescents. Stigma research and action. https://pmc.ncbi.nlm.nih.gov/articles/PMC3839682/

Stigma, prejudice and discrimination against people with mental illness. Psychiatry.org – Stigma, Prejudice and Discrimination Against People with Mental Illness. (n.d.). https://www.psychiatry.org/patients-families/stigma-and-discrimination

Throwing Up: The Fear of Throw Up

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By Caroline Buchanan

The fear of throw up, also referred to as emetophobia, is a specific phobia that revolves around the fear of vomiting, seeing vomit, watching other people vomit, or feeling sick. Emetophobia tends to leave people in a state of anxiety, overtaking their thoughts and engaging in behaviors that impact their everyday life. For example, you may avoid crowded places, traveling, eating out, or closely monitor your own health in an attempt to reduce the distress you may feel. While this anxiety can feel overwhelming and unbearable at times, this condition can be managed by a therapist.

What causes emetophobia?

Specific phobias tend to develop after a specific incident. As a result of this incident, an association is created between a thing – an object, situation, or an event – and a fear (Psych Central). Specifically in the context of emetophobia, this could involve getting sick in public, someone vomiting on you, having a bad case of food poisoning, or seeing someone else throw up. Emetophobia can also develop without a clear cause, causing experts to believe that genetics and the environment play a role. Regardless of whether you can pinpoint an incident or not, this anxiety can still be managed.

How can emetophobia be managed?

Exposure therapy is considered to be one of the most effective treatments. In this type of therapy, your therapist will expose you to your fear at a slow rate. This could involve trying a new food at a restaurant or spinning around until you feel nauseous. With these actions, you will be provided with techniques to help you cope with these feelings of anxiety. The goal is that the more you are exposed to your fear, the more you feel comfortable with it. Talk therapy and cognitive behavioral therapy (CBT)can also be used to help learn how to identify and challenge negative thought patterns in your anxiety. While it may take some time to find the right therapist and techniques for you, it is worth it to alleviate the distress in your life.

If you or someone you know is suffering from emetophobia, 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.healthline.com/health/emetophobia#outlook

Cognitive Behavioral Therapy

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Cognitive Behavioral Therapy

What is CBT?

                Cognitive Behavioral Therapy is a type of psychotherapy that focuses on modifying and changing dysfunctional and intrusive thoughts, behaviors, and emotions. CBT is influenced by the idea that thoughts influence behavior; therefore, the job of the psychotherapist is to talk to the patient and help uproot negative and irrational beliefs, and then change them into newer and more positive ones. CBT is distinct from other therapies because it focuses on the present, rather than the past. What are you thinking right now? Are there any harmful thought patterns that usually emerge? What are you thinking when you begin to feel anxious?

                This form of psychotherapy is appropriate for all ages including children, adolescents and adults. A clinician or therapist will likely practice CBT with a patient when the patient is demonstrating severe symptoms of anxiety, stress, and negative and disturbing thoughts or beliefs about their lives. A patient who engages in severe negative self-talk or low self-esteem due to negative beliefs about themselves or about life can tremendously benefit from CBT. Cognitive Behavioral Therapy can also treat patients with conditions such as depression, Post-Traumatic Stress Disorder, phobias, and substance use disorder. CBT is also beneficial for people looking to improve their relationships and overall wanting to engage in a happier, healthier lifestyle.

Grief: Grieving Around the Holidays

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Grief: Grieving Around the Holidays

By Emily Ferrer

As the weather gets colder, the colorful leaves fall off the trees, and the holiday decorations start to light up the night, the feeling of the best time of the year starts to kick in. As merry and cozy as these holidays seem to be, they do not always have the same effect on everyone. Grieving around the holidays can feel extremely lonely, sad, and overwhelming. The first holiday season is always the hardest for individuals and families who have just lost someone close to them, such as a grandparent, parent, sibling, child, or other close relative that they would usually see during the holidays. The empty chair at the dining table during Thanksgiving, or the wonder of who is going to make the Christmas cookies this year can be extremely heartbreaking. Even after you feel as if you have started to feel better through your grieving process, the holidays can dig up more emotion than you have felt since losing your loved one. You may start to feel more down, tired, unmotivated, sluggish, and lonely. You may also start to get flashbacks of your loved one when they passed that may also make you feel as if you are grieving from the beginning all over again. As hard as the holiday season may be for grieving individuals and families, here are some tips to help make your holiday season a bit brighter this year[1]:

  • Surround yourself with people you love and care about. Being with a big group of people during the holidays after losing a loved one can help you feel less lonely and can also be a great opportunity to share stories about your loved one with your family.
  • Do not “cancel” the holiday. As tempting as it may be to forget about the holidays after losing your loved one it is important to keep it going and grieve along the way. Experiencing the holiday season after the death of a loved one is part of the grieving process from which you should not run away.
  • Create new traditions. Finding new traditions can also be a create way to cope during the holiday season. This can include changing the location of where holiday dinner is hosted, picking new family members to carve the turkey or make the Christmas cookies, or even coming up with a new holiday game to play to fill the emptiness that everyone may feel.
  • Practice self-care. Try not to indulge in alcohol or drugs during the holiday season to cope with your grief; instead, try journaling, spending time with friends, or physical activity to boost your mood. It is also important to let yourself feel any emotions that arise and to not fight the conflicting feelings of anger, sadness, joy, and happiness.
  • Seek professional help. It is important to be aware of your feelings during such a difficult time and recognize that if the holiday season is too much for you to handle to seek professional help to assist you during this challenging period.

If you or someone you know is struggling with grief this holiday season and wants help, 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:

[1] https://www.vitas.com/family-and-caregiver-support/grief-and-bereavement/holidays-and-grief/coping-with-grief-during-the-holidays

Hypnotherapy: What is it?

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Hypnotherapy: What is it?

By Emily Ferrer

Hypnotherapy helps clients gain control over unfavorable behaviors, cope with anxiety or pain, or alter their ideas about a certain idea or image. Hypnosis involves a trained psychologist and entails placing the patient into a trance-like state that can make you feel extremely calm, focused, and open to suggestions[1]. Over many years, hypnosis has been found to help many people with issues such as pain control, chemotherapy, hot flashes, behavioral changes, anxiety, depression, sleep disturbances, Irritable Bowel Syndrome (IBS), addiction, weight loss, and more[2]! In fact, a study done in 1970 found that hypnotherapy has a 93% success rate in less sessions compared to other forms of therapy[3]. The average amount of hypnotherapy sessions needed to see results can be as little as 4 and as much as 15[4]. This is much less than the average number of sessions needed for other forms of therapy, which are usually around 20 or more until you start to see results[5].

You are probably curious what exactly to expect in a hypnotherapy session and how to prepare. There is no preparation needed on your end before your first hypnotherapy session other than an open mind and a willingness to change your behaviors or ideas. The first session will usually not involve any hypnotism, however, the therapist may use this session as an opportunity to get to know you, the problems you are facing, and what you want to change. The second session is usually when your hypnotherapy begins. Your therapist will always explain the process to you and begin by talking in a soothing and gentle voice. The therapist may also start to describe very vivid images to you to create a sense of relaxation and security. Once you are in a relaxed state, your therapist may begin suggesting ways to work towards your goal that you wanted to work on, such as fear, pain, addiction, anxiety, sleep disturbances, etc. This will help you visualize your path to success and believe in your ability to accomplish your goals[6]. Eventually, your therapist will guide you out of your state of relaxation and the hypnosis session will end. Hypnosis can be extremely helpful to those it does work for but suicide/suicidal thoughts is not guaranteed.

If you or someone you know is interested in trying hypnotherapy, 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 certified in hypnotherapy 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:

[1] https://www.mayoclinic.org/tests-procedures/hypnosis/about/pac-20394405#:~:text=Hypnosis%2C%20also%20referred%20to%20as,verbal%20repetition%20and%20mental%20images.

[2] https://www.pennmedicine.org/updates/blogs/health-and-wellness/2019/january/hypnosis

[3] Barrios, A. A. (1970). Hypnotherapy: A reappraisal. Psychotherapy: Theory, Research & Practice, 7(1), 2–7. https://doi.org/10.1037/h0086544

[4] https://thehypnosisclinic.com/blog/how-many-sessions-do-i-need/

https://www.mayoclinic.org/tests-procedures/cognitive-behavioral-therapy/about/pac-20384610#:~:text=Length%20of%20therapy,Type%20of%20disorder%20or%20situation

[6] https://www.mayoclinic.org/tests-procedures/hypnosis/about/pac-20394405#:~:text=Hypnosis%2C%20also%20referred%20to%20as,verbal%20repetition%20and%20mental%20images.

Grief: When to Seek Grief Counseling

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Grief: When to Seek Grief Counseling

By: Julissa Acebo


The five stages of grief (denial, anger, bargaining, depression, and acceptance) are normal. When grief becomes unbearable, therapy can help ease the pain and help you progress.


10 signs that indicate you should seek grief counseling:

  1. You’re having suicidal thoughts and/or persistent feelings of depression.
  2. You’re experiencing ongoing symptoms of distress, such as crying, insomnia, loss of appetite, increased irritability, anger, and panic attacks.
  3. Struggling to complete everyday tasks, including basic self-care.
  4. You frequent familiar places, hoping to see your departed loved one there, or avoid locations and situations that may remind you of your loss.
  5. You’re abusing substances like alcohol or drugs, or engaging in addictive behaviors, like gambling.
  6. You’re withdrawn and avoiding social interaction.
  7. You have no support system.
  8. You’re feeling bereavement guilt, possibly blaming yourself for your loved one’s death or grappling with regret about your relationship with the deceased.
  9. You’ve “moved on” a little too well.
  10. Grief interferes with your work.

How grief counseling can help:

  • Allows you to express your emotions
  • Help you address any feelings of guilt you may harbor
  • Help you come to terms with your new reality
  • Help you deal with your trauma

If you or someone you know is experiencing Unbearable Grief 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:
https://www.psycom.net/stages-of-grief

https://www.talkspace.com/blog/grief-counseling-therapy-definition-what-is/
5 Signs That You Might Need Grief Counseling

https://www.gwic.com/Education-Center/Grief-Support/13-signs-you-should-seek-grief-counseling

Eating Disorders: How To Catch Them in Your Loved Ones

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Eating Disorders: How To Catch Them in Your Loved Ones

By Emily Ferrer

Eating disorders are characterized by severe and persistent troubles related to eating behaviors, food, and weight[1]. There are many different types of eating disorders; however, the most common are anorexia nervosa, bulimia nervosa, and binge eating disorder. Nine percent of the entire population suffers from an eating disorder and 10,200 deaths are recorded each year due to an eating disorder[2]. After reading about how common they are, I am sure you are wondering, “How do I know if I or someone I know has an eating disorder?” There are many signs and symptoms associated with eating disorders[3]:

Anorexia Nervosa:

  • Extreme weight loss
  • Muscle weakness
  • Bone weakness
  • Amenorrhea
  • Brittle hair/nails
  • Always feeling cold
  • Obsession with food
  • Depression

Bulimia Nervosa:

  • Frequent trips to the bathroom after a meal
  • Chronic sore throat
  • Dental decay
  • Laxative/diuretic misuse
  • Large amounts of food disappearing
  • Fainting from excessive purging

Binge-Eating Disorder:

  • Weight gain
  • Eating very rapidly
  • Eating until very full
  • Eating even when not hungry
  • Hiding large amounts of food
  • Eating alone on purpose
  • Feeling guilty after eating large amounts of food

Eating disorders can be extremely serious if not treated. It is important to stay informed about the signs and symptoms of different eating disorders so you can find help for you or someone you know as soon as possible. Other general signs of eating disorders to look out for are a sudden obsession with food (cooking it, eating it, watching cooking shows/videos), social withdrawal, drastic changes in mood, new attitudes towards food, new dieting habits, self-harm, excessive exercise, obsession with calorie and step count, repeatedly weighing themselves, and body dysmorphia[4]

If you or someone you know is struggling with an eating 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:

[1] https://psychiatry.org/patients-families/eating-disorders/what-are-eating-disorders

[2] https://anad.org/eating-disorders-statistics/

[3] https://psychiatry.org/patients-families/eating-disorders/what-are-eating-disorders

[4] https://www.lifeworkscommunity.com/eating-disorders-treatment/how-to-recognise-the-early-signs-of-an-eating-disorder

Deep Brain Stimulation and Electroconvulsive Therapy: What are they?

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Deep Brain Stimulation and Electroconvulsive Therapy: What are they?

By Emily Ferrer

Deep Brain Stimulation (DBS) is a brain surgery involving the implantation of electrodes in certain areas of the brain to treat different movement disorders such as OCD, dystonia, Parkinson’s disease, and epilepsy as well as other disorders such as depression and drug addiction[1]. These electrodes produce electrical impulses to regulate certain brain functions[2] and are controlled by a pacemaker-like device. This pacemaker is placed in your chest with a wire that runs from the pacemaker to the electrodes that were inserted into your brain[3]. The parts of the brain that the electrodes are inserted into are specific to the patient and their specific symptoms. For example, for a patient who suffers from severe OCD the electrodes would be placed in an area of the brain called the ventral capsule/ventral striatum, which has been found to be very effective for patients suffering from treatment resistant OCD at about a 61.5% positive response rate[4].

Electroconvulsive Therapy (ECT) is a medical treatment usually preformed on patients who suffer from severe clinical depression and are treatment resistant to other options to help their condition[5]. The treatment involves small electric currents being passed externally through the patient’s skull between the voltage ranges of 180 to 460 volts. While there is still much controversy and incorrectly portrayed media about this procedure, it is significantly safer today than it was almost 100 years ago. The patient is put under general anesthesia at a hospital during the entire treatment and wakes up after not feeling anything from the procedure. The only thing patients feel after the completion of the treatment is an increase in positive mood. A study done in 2007 revealed that out of the patients who did and did not receive ECT for their treatment resistant depression, 71% of the participants in the experimental group, that received ECT,  found they had a positive response. This is significant when compared to the control group, who did not receive ECT, where only 28% of the participants found they had a positive response to just antidepressant medication[6].  ECT has gained a lot of popularity recently because of how quickly and effectively you feel the effects after a few treatments. The positive effects increase even more quickly when combined with psychotherapy in between the ECT treatments.

If you or someone you know is experiencing OCD or major depressive disorder and are interesting in pursuing these treatments, 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:

[1] https://atm.amegroups.com/article/view/16268/html

[2] https://www.mayoclinic.org/tests-procedures/deep-brain-stimulation/about/pac-20384562

[3] https://www.mayoclinic.org/tests-procedures/deep-brain-stimulation/about/pac-20384562

[4] https://iocdf.org/expert-opinions/expert-opinion-dbs/#:~:text=Another%20important%20development%20for%20treatment,targeted%20areas%20of%20the%20brain.

[5] https://www.webmd.com/depression/electroconvulsive-therapy

[6] https://doi.org/10.1111/j.1600-0447.1997.tb09926.x