Gambling

Gambling

By Lauren Hernandez

              Gambling can be a fun occasional activity to do with friends or family. However, some individuals can develop a serious addiction known as Gambling Disorder. Through frequent compulsive, habitual impulses, a person who is unable to resist gambling can have extreme negative consequences throughout their life which may affect relationships, finances, and even be a stepping stone towards engaging in criminal behavior. Typically a person addicted to gambling will develop this pattern of behavior during adolescence or young adulthood.  Gambling Disorder may begin with occasional gambling and develop into habitual, problematic gambling episodes. An increase in gambling is associated with stress, depression, and substance use or abstinence. Patterns of problematic gambling may also include periods of long term remission.

According to the DSM-5 the symptoms of Gambling Disorder include:

  • Persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress, as indicated by the individual exhibiting four (or more) of the fol­lowing in a 12-month period:
  • Needs to gamble with increasing amounts of money to achieve the desired excitement.
  • Is restless or irritable when attempting to cut down or stop gambling.
  • Has made repeated unsuccessful efforts to control, cut back, or stop gambling.
  • Is often preoccupied with gambling (e.g., having persistent thoughts of reliving past gambling experiences, handicapping or planning the next venture, thinking of ways to get money with which to gamble).
  • Often gambles when feeling distressed (e.g., helpless, guilty, anxious, depressed).
  • After losing money gambling, often returns another day to get even (“chasing” one’s losses).
  • Lies to conceal the extent of involvement with gambling.
  • Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling.
  • Relies on others to provide money to relieve desperate financial situations caused by gambling.
  • The gambling behavior is not better explained by a manic episode.

The treatment for Gambling Disorder is an eclectic approach. It is important to seek treatment early, before the individual poses any extreme risks to themselves or friends and family. Prevention may not always be possible; however limiting exposure to casinos, scratch off tickets, or other triggers is helpful. Compulsive gambling is best treated through psychotherapy in the form of therapy or support groups. In addition to psychotherapy, medications such as antidepressants or mood stabilizers are extremely helpful. If you or someone you know is struggling with Gambling Disorder or has problematic gambling habits, it is important to reach out to a mental health practitioner such as a psychologist or psychiatric nurse practitioner.

If you or someone you know who may have Gambling 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/

 

 

 

 

 

 

 

Source: https://www.psychologytoday.com/us/conditions/gambling-disorder-compulsive-gambling-pathological-gambling

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Eating Disorders: Disordered Eating Habits

Eating Disorders: Disordered Eating Habits

Image result for disordered eating habits

Eating Disorders: Disordered Eating Habits

By: Julia Keys

Our culture is obsessed with weight, thinness, exercise, and beauty. Studies show that women under the age of 19 are particularly vulnerable to the problematic effects of social media; about 60% of girls have a desire to lose weight even though they are within the healthy weight range ( Morris & Katzman, 2003). As a result, many people have developed unhealthy ways of eating and exercising for dealing with the pressure to look a certain way. These habits can seem minor at first, but can quickly develop into an eating disorder. While disordered eating habits do not meet the clinical criteria for an eating disorder, they are still unhealthy and potentially damaging.

Signs of Disordered Eating Habits:

  • Self-worth or self-esteem based highly or even exclusively on body shape and weight
  • A disturbance in the way one experiences their body i.e. a person who falls in a healthy weight range, but continues to feel that they are overweight
  • Excessive or rigid exercise routine
  • Obsessive calorie counting
  • Anxiety about certain foods or food groups
  • A rigid approach to eating, such as only eating certain foods, inflexible meal times, refusal to eat in restaurants or outside of one’s own home

It is important to recognize the signs of disordered eating and try to eradicate them before they become potentially harmful. Clinicians advise to quit fad diets because they are extremely restrictive and often result in binge eating. Obsessive exercise focused on “fat-burning” or “calorie-burning” should also be avoided and replaced with physical activity that is more focused on enjoyment. Another tip psychologists give is to avoid weighing yourself every single day. Weight can fluctuate about 2-5 lbs. a day, so fixating on a specific number in order to be healthy isn’t helpful. If disordered eating habits suddenly get worse, or start to impact one’s daily functioning, one should seek help.

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:

https://www.psychologytoday.com/us/blog/contemporary-psychoanalysis-in-action/201402/disordered-eating-or-eating-disorder-what-s-the

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2792687/

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Bulimia Nervosa

Bulimia Nervosa

By: Lauren Hernandez

Bulimia Nervosa is an eating disorder known for episodes of out of control eating and subsequent self-induced methods of purging in order to prevent weight gain. Binging is considered an irresistible compulsion and on average happens about once a week, but can also occur several times a week. Bulimia is most common in women and typically begins in their teens to early 20s. The cultural obsession with a perfect body image, fueled by social media models with unattainable body “goals”, is harmful to young people’s self-esteem and body image. Social media perpetuates a cultural and social expectation of women needing to be thin in order to be beautiful, and this negatively impacts our younger generations.

Signs of Bulimia include:

  • Yellow teeth, erosion of dental enamel
  • Gastrointestinal problems
  • Unexpected weight gain
  • Hair loss
  • Lack of bowel movements
  • Lack of energy
  • Dehydration
  • Red, blistered, or scabbed knuckles

Some typical purging methods include:

  • Vomiting
  • Taking laxatives or diuretics
  • Excessive exercise

Some typical restrictive eating symptoms include:

  • Fasting
  • Disordered Eating

Research has shown that people with Bulimia Nervosa have comorbid mental illnesses such as anxiety, depression, or substance use disorder. Bulimia is also related to personality disorders which effect one’s social, personal, behavioral, and emotional interactions. Bulimia is best treated through a primary care physician, a nutritionist, and a mental health clinician. Cognitive behavioral therapy as well as antidepressants are extremely helpful for those recovering from Bulimia. It is important that schools address eating disorders at an early age in order to educate and bring awareness to young people.

 

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/ .

 

 

 

 

 

 

Source: https://www.psychologytoday.com/us/blog/inside-out-outside-in/201703/what-is-bulimia-nervosa

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Anorexia Nervosa: How to Spot the Signs

By: Lauren Hernandez

People with anorexia nervosa have a perception of themselves as overweight although typically they are extremely underweight. It is common for a person to have more than one mental disorder such as depression and anxiety which accompany anorexia nervosa.

Major symptoms:

  • Fear of gaining weight
  • Extreme thinness (emaciation)
  • Drastic restricted eating patterns
  • Denial of their extremely low body weight
  • Dry and yellowish skin
  • Fine hair all over the body (lanugo)

If you see a friend exhibiting these behaviors and symptoms, it is best to reach out to an adult or medical professional. It is imperative that people with eating disorders seek treatment early on so that total recovery is possible.

You are not alone.

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/ .

 

 

 

Source:

https://www.nimh.nih.gov/health/topics/eating-disorders/index.shtml

 

Image Source:

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Depression in Children: What are the Signs?

By: Sally Santos

In children the most common mental health disorder is depression. When a child is going through depression it may affect their mental and physical health. As mentioned in a Psychology Today article the symptoms “must also interfere with the child’s functioning in normal daily activities.” Since children are still young they are not able to communicate their feelings well to others. Children with depression can be helped that’s why it is important for parents, caregivers and teachers to recognize the signs of depression. Some of the symptoms are:

  • Angry outburst
  • Anxiety
  • Decreased in energy
  • Feelings of hopelessness
  • Lack of concentration
  • Weight loss
  • Insomnia
  • Refusal to go to school

According to the National Alliance of Mental Health “Once a young person has experienced a major depression, he or she is at risk of developing another depression within the next five years.”

Sources:

https://www.psychologytoday.com/us/blog/alphabet-kids/201009/20-signs-and-symptoms-childhoodteen-depression

https://www.psychologytoday.com/us/blog/alphabet-kids/201009/depressing-news-about-childhood-and-adolescent-depression

Image:

https://www.anxietymedications.net/childhood-depression-symptoms-and-signs-to-diagnose-stress-on-kids/

If you are a parent and are concerned about your child having depression call 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/

Anorexia and Amenorrhea: How Anorexia can be the Reason for Losing your Period

By: Sanjita Ekhelikar

Eating disorders are ruthless mental illnesses which severely impact on one’s mental and physical well-being. One such eating disorder is Anorexia Nervosa. This ailment is characterized by a severely distorted body image, a fear of gaining weight, extreme starvation and restriction of food intake, and a very low body weight. This deprivation of food and nutrients can have detrimental effects to the body. Anorexia Nervosa is primarily prevalent among younger females, although impacting males as well. One side effect of this eating disorder in females is amenorrhea, or losing one’s menstrual cycle.

Amenorrhea can be classified into two forms: primary and secondary. Primary amenorrhea occurs when a female does not begin her menstrual cycle by sixteen years of age. Secondary amenorrhea, loss of the menstrual cycle after it has already begun, is prevalent in many females with anorexia nervosa. The loss of one’s period can be attributed to low body weight, extreme amounts of exercise, and greater stress levels. The loss of such a regulated bodily cycle in a female’s body is dangerous, and can indicate the severity of and impairment caused by anorexia nervosa.

If amenorrhea and the underlying causes of its occurrence are not addressed, women are at risk of becoming infertile. In addition, the levels of estrogen decrease in the female body, leading to the development of pre-menopausal symptoms including loss of sleep, night sweats, and irritable moods. Finally, amenorrhea and the resulting reduction in estrogen can deplete amounts of calcium, thus making bones brittle and more susceptible to breakage. This can even occur in younger women with anorexia who are struggling through amenorrhea.

It is imperative that one seeks treatment if they are struggling with Anorexia Nervosa, and especially if one is also experiencing amenorrhea. Therapy and medication can be of assistance in overcoming this disorder, and in restoring one’s menstrual and mental well-being.

If you or someone you know is dealing with Anorexia Nervosa and/or amenorrhea, please contact our psychotherapy/psychiatry offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/.

Restrictive Eating Disorder: Orthorexia

By: Sanjita Ekhelikar

“Sugar-free,” “low-calorie,” “antioxidant-rich,” “organic.” These are all words we are surrounded by in a world where healthy eating is so greatly stressed and strived for. We are educated from an early age about how it is important to choose healthier options in order to maintain our wellbeing and avoid illnesses. Healthy eating seems to be failproof – nothing could possibly go wrong with wanting to make healthy food choices, right?

Wrong. While healthy eating is extremely beneficial in reasonable amounts, it can take an unhealthy turn when the desire to eat clean becomes obsessive. This condition is defined as orthorexia, an obsession with eating healthy foods and eliminating those which do not fall under this category. Although not formally diagnosed, this illness can truly affect one’s wellbeing. People with orthorexia completely ban foods that they do not think are healthy, and often restrict calories as well, thus destroying their relationships with food.

There are many symptoms of orthorexia to note. Individuals with this disorder excessively look at nutritional facts and caloric information. They are continually concerned about health information and ingredients, and cut out foods that do not qualify as healthy (such as sugars, carbs, and fats). Orthorexia can cause individuals to spend lots of time thinking about the foods they need to consume, and makes them uncomfortable if they are only surrounded by “unhealthy” food choices. Orthorexia is often comorbid with obsessive compulsive disorder. As a result of orthorexia, individuals deprive themselves of key nutrients and essential calories for proper functioning. They and can develop issues such as decreased blood pressure, blood sugar fluctuations, digestive issues, impaired brain functioning and concentration, sleeping difficulties, hair loss, loss of menstrual cycle, and muscle cramping.

Although healthy eating can be advantageous, it must be encouraged in a realistic and reasonable way. People should be informed that having a well-balanced diet is important, and involves eating foods such as carbs, sugars, and fats which may be believed to be “unhealthy”. Overall physical health can be maintained even if eating those “junky” meals every now and then and not obsessively restricting one’s diets. By promoting this, we can also certify that we encourage both good physical AND mental health.

If you or someone you know is suffering from orthorexia and/or other eating issues, 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/.

Binge Eating Disorder: When your Appetite Cannot be Satisfied

By: Sanjita Ekhelikar

“Binging” is a word that is commonly thrown around and used in our everyday language. It is used in contexts ranging from talking about “binging” on a television show on Netflix, to “binging” on food at Thanksgiving dinner. However, this word and toxic is associated with a severe eating disorder known as Binge Eating Disorder, or BED.

In eating disorders such as anorexia, people have excessive amounts of control over what they eat, and as a result restrict calories and lose extreme amounts of weight. BED, on the other hand, is characterized by an absence of control over the consumption of food. Individuals with this disorder feel like they cannot stop eating, and can consume as many as 20,000 calories in one “binge” session.

Although BED impacts about under 10 percent of individuals in terms of eating disorders (Psychology Today), it is an extremely serious problem that should be given proper attention. People often develop this eating disorder as a result of struggling with emotions or another aspect of life, from feeling pressure from society to have a certain body type, or from hormonal causes. Effected individuals can never feel satiated with eating, and often feel shame, guilt, and low self-esteem as a result of their behaviors. BED is frequently comorbid with other mental illnesses including depression and anxiety, and can cause physical complications such as gastrointestinal problems, cardiovascular problems, and type 2 diabetes. BED can be devastating to live with, but with proper treatment, therapy, and medication, it can be stopped and treated.

So next time before you say “binging” in a context unrelated to this illness, think about the implications of the word, and the severity of BED. While you may have the ability to stop “binging” on a TV show or holiday meal, this presents a large challenge for those afflicted with this disease.

If you or someone you know is suffering from binge 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/.

Why Dieting May Be Bad For You

Sam Kwok

As the summer months roll around, the amount of social media posts of swimsuit bodies increase. Many people believe that summer is the time for dieting to achieve a perfect body that would be praised by others on social media. To help people lose weight and get into shape, many diet plans have been developed which typically restricts those following the plan from specific food groups. Some of the most common diets are:

  • Keto: low carb, high protein
  • Raw: uncooked food
  • Vegan: no foods that come from animals (ex. Dairy, meat, honey)
  • Paleo: no foods cavemen would not have eaten (ex. Pasta, dairy)
  • Atkins: low carbs
  • Weight Watchers: company meal plan, premade food

Research has shown that healthy lifestyles have been linked to better mental health. Those who eat a balanced diet and exercise daily tend to be happier. Though these diet plans seem to encourage people to make healthy decisions, many of these plans are in fact, the very opposite of healthy as they do not promote a balanced diet. The National Heart Organization recommends that individuals eat approximately 6 servings of grains a day. Those on an Atkins and Keto diet typically eat 0-2 servings. Those following the raw food diet also lack a lot of nutrients that exist in cooked food. Plants have an extra layer within their cells known as cell walls which are meant to help the plant in providing protection and structural support. Some animals like pandas have the ability to break through this cell wall, but humans, do not. The only way for us to break down this cell wall to absorb nutrients is through cooking our vegetables.

There have also been cases of individuals who develop obsessions with diet fads and eventually develop eating disorders. Some common eating disorders are anorexia nervosa and bulimia nervosa. These disorders not only take a huge toll on the body physically, but they also affect the mind psychologically. When trying to get into shape, one should eat a balanced diet and exercise daily, yet many diet plans fail to include such topics. Having a stable sleep schedule as well as maintaining social relationships can affect weight as well as an individual’s esteem and should be taken into consideration when one is attempting to lose weight. Remember, you are what you eat- so eat healthy.

If you or a loved one appears to be suffering from an eating 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. Visit http://www.counselingpsychotherapynjny.com/ for more information.

Seasonal Affective Disorder: What is it?

Seasonal Affective Disorder

Written by: Jinal Kapadia

Seasonal Affective Disorder (SAD) is a peculiar disorder. In fact in is not a disorder at all. It is actually a type of depression displayed in a recurring seasonal pattern. In order to be diagnosed with Seasonal Affective Disorder, the patient must meet the full criteria for major depression coinciding with specific seasons (appearing in the winter or summer months) for at least 2 years.

Some general symptoms include feeling depressed most of the day nearly every day, feeling hopeless or worthless, losing interest in activities that were once enjoyed, having difficulty concentrating, and/or having thoughts of death or suicide. There are also specific symptoms that vary based on either the winter or summer seasons. In the winter, a person with Seasonal Affective Disorder may experience low energy, hypersomnia, overeating, weight gain, cravings for carbohydrates, and social withdrawal (feel like “hibernating”). Although, summer seasonal affective disorder is less frequent, the specific symptoms for this season include poor appetite, weight loss, insomnia, agitation, restlessness, anxiety, and episodes of violent behavior. Forms of treatment for Seasonal Affective Disorder include medication, Psychotherapy (cognitive behavioral therapy and behavioral activation), and Vitamin D supplementation.

If you or someone you know has Seasonal Affective Disorder or seems to have the symptoms of SAD, and needs 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 http://www.counselingpsychotherapynjny.com/.

Source: Seasonal Affective Disorder. (2016, March). Retrieved January 09, 2018, from https://www.nimh.nih.gov/health/topics/seasonal-affective-disorder/index.shtml