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Anxiety in Young Adults During COVID-19

GalleryJudy Gurfein Leave a comment

Anxiety in Young Adults During COVID-19

By Jackie Molan

Since the onset of the COVID-19 pandemic, rates of anxiety have sharply increased, especially in the young adult population (ages 18-24). Young adults are particularly susceptible to pandemic anxiety because they experienced enough “normal,” pre-COVID life to understand the current uncertainty of their own futures and the future state of the world.

Potential Anxiety Risk Factors

New studies have provided evidence that certain traits present in childhood and adolescence can lead to anxiety in young adulthood. One of these traits is behavioral inhibition, a childhood temperament characterized by nervousness and fear in response to new people and situations. Those who display behavioral inhibition during childhood are more likely to experience worry dysregulation – inadequate worry management skills – during adolescence. Worry dysregulation is a strong predictor of anxiety later in life, which can be brought on by a stressful life event. Therefore, the onset of the COVID-19 pandemic likely triggered anxiety in young adults who demonstrated this pattern of temperaments earlier in life.

Causes of Pandemic Anxiety

For young adults, the pandemic has interfered with their school, work, home, and social lives, leading to a significant upending of usual routines. Maintaining a daily routine often provides comfort, so it can be anxiety-inducing when this is lost due to external factors. Further, many people are experiencing “reentry anxiety” as more places reopen without mask mandates. It is difficult to navigate reentering society when there is lingering anxiety about future variants, vaccines, and mandates.

Steps to Improve Anxiety

The following are steps you can take to improve COVID-related anxiety:

  • Make time for stress reduction and self-care – This can be as simple as taking a walk or finding a few minutes during the day to meditate.
  • Follow a daily routine – Routines may be different than they were pre-COVID, but they can still be helpful.
  • Distinguish work/school life from home life – Even though you may be spending more time in your house than before, you can set boundaries to make work/school feel separate from home. Try designating certain times, or even rooms in the house, to leisure activities.
  • Seek help from a mental health professional.

Anxiety can feel like an uphill battle, but seeking help from a mental health professional can provide you with the resources you need to cope with post-COVID life.

If you or someone you know is seeking therapy for pandemic-related anxiety, 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/news/science-news/2021/study-identifies-risk-factors-for-elevated-anxiety-in-young-adults-during-covid-19-pandemic

https://psychcentral.com/coronavirus/coronavirus-overview

https://www.nytimes.com/2020/08/13/health/Covid-mental-health-anxiety.html

https://stayprepared.sg/mymentalhealth/articles/impact-of-covid-19-on-mental-health/

Obsessive-Compulsive Disorder: The Effects of OCD on Productivity

GalleryJudy Gurfein Leave a comment

Obsessive-Compulsive Disorder: The Effects of OCD on Productivity

By Jackie Molan

Obsessive-compulsive disorder (OCD) is characterized by a cycle of obsessions and compulsions that interfere with the person’s daily life. Obsessions are unwanted thoughts and impulses that occur repeatedly and induce fear and/or anxiety in the person experiencing them. Compulsions are repetitive behaviors that occur in response to obsessions. They are typically intended to reduce the fear or anxiety brought on by obsessions, but this effect is short-lived, and thus the cycle continues.

Approximately 2% of the population suffers from OCD. Symptoms most often appear during adolescence or adulthood and are usually chronic. Therefore, if someone develops symptoms during adolescence, OCD is likely to cause them difficulties in numerous aspects of their lives as they age. A notable example of one of these aspects is productivity, which is relevant in both school and work environments.

Perfectionistic obsessions surrounding productivity and success are common in people with OCD. If an obsession causes anxiety about failing a task or assignment, the resultant compulsion might cause that person to spend hours checking and rechecking their work. This reduces productivity in the long run because it takes up valuable time and energy that could have been spent completing more tasks. Additionally, many compulsions involve some sort of movement, so it can be difficult for someone with OCD to sit at a desk for long periods of time. When OCD gets in the way of being productive, the person is likely to stress about their lack of productivity, which further exacerbates their OCD symptoms.

Although OCD has the potential to hinder productivity, there are steps you can take to improve it:

  • Go to therapy – The techniques employed in therapy can help you keep your OCD symptoms under control, allowing for increased productivity.
  • Manage stress – Finding ways to cope with stress will help prevent OCD symptoms from worsening.
  • Gain a better understanding of perfectionism – Learning about the pitfalls of perfectionism can allow you to set more realistic goals.
  • Practice self-care and compassion – Be kind to yourself even when you are feeling unproductive.

Living with OCD can certainly be challenging, but a more productive future is not impossible if you understand the nature of your problem and seek professional help with a psychologist or psychiatric nurse practitioner.

If you or someone you know is seeking therapy for obsessive-compulsive 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://psychcentral.com/ocd/ocd-and-productivity#How-OCD-can-affect-productivity

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

https://adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/what-happened-my-child-understanding-and

Anxiety in Athletes

GalleryJudy Gurfein Leave a comment

Anxiety in Athletes

By Fiona McDermut

            Anxiety disorders are quite common in recent times, and can interfere with completing simple daily tasks. One population in which anxiety disorders can be particularly concerning is student athletes. Student athletes experience a tremendous amount of pressure coming from multiple facets of life. This includes pressure to perform/compete well, pressure to attend athletic training daily, pressure to maintain a healthy/fit figure, and the pressure to keep up with academic assignments. Competition and a moderate level of stress have proven to be beneficial to performance in many circumstances, but the overwhelming stress that often results from being a student athlete can be debilitating and may impact success.

            Although athletes may be at an increased risk for anxiety disorders, they often find that their schedules are too busy to seek help. In order to perform physically to one’s fullest potential, mental health is just as important as physical health. Anxiety can cause both mental and physiological symptoms that can impact athletic performance.

These symptoms include:

  • Feeling powerless
  • Feeling weak or tired
  • Increased heart rate
  • Rapid breathing
  • Trembling

            While decreasing the level of competition and pressure for student athletes may be a lost cause, there are ways to help deal with the feelings of anxiety that accompany this. First and foremost, it is crucial to allow yourself to take a day off when the pressure becomes too overwhelming. Do something that makes you happy, or simply give your body and mind a day of relaxation. This is especially important if you are injured, or not feeling well mentally or physically.

            If feelings of anxiety persist, it can be helpful to seek therapy. Therapy sessions provide an outlet to share emotions, as well as a professional who can help to manage anxiety. Some of the main treatments for anxiety include Cognitive Behavioral Therapy, Psychotherapy, and medication (mainly SSRIs and antidepressants). A mental health professional will work with your personal needs to establish the most effective treatment plan.

If you or someone you know is struggling with anxiety, 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.ncaa.org/sports/2014/10/8/mind-body-and-sport-anxiety-disorders.aspx

Image Source:

https://www.cnbc.com/2021/09/13/heres-impact-of-ncaa-letting-college-athletes-profit-off-their-marketability.html

School Shootings: How to Help Your Child’s Anxiety Following Tragedy

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School Shootings: How to Help Your Child’s Anxiety Following Tragedy

By Kim Simone

In times of uncertainty and fear, children will often turn to those who bring them certainty and calm. Unfortunately, in the aftermath of a school shooting, parents may not be able to give their children the answers they need to alleviate their anxiety. Even when a child is far removed from the setting of a school shooting, being in a school setting can induce anxiety. It is important that parents recognize signs of distress and anxiety exhibited by their child following a tragedy.

Elementary school students will likely have questions that have no definitive answers, such as the motives behind a school shooting. Parents need to be prepared to answer their child with caution as children may not be emotionally prepared to hear explicit details. Furthermore, children may be concerned with how the shooting may have impacted them, or rather, how a shooting may impact them in the future. Questions such as “Could this happen to me?” or “Could this happen at my school?” show how uncertainty can lead to excessive levels of anxiety in a child. 

Symptoms of anxiety in children can include unexplained stomachaches, headaches, and changes in sleeping and eating behaviors. It is also important to note any changes in academic and social behavior in school, as anxiety may be heightened in this environment.

If your child is experiencing excessive worry and anxiety as a result of tragedy, consider having them speak to a child psychologist. Prolonged anxiety can harm a student academically, socially, and emotionally. Building a support system for children who are overcome by distress and anxiety is crucial in bringing a sense of calm to their environment in a time of uncertainty.

If you or someone you know is struggling with anxiety after a tragedy, 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://childmind.org/article/anxiety-school-shooting/

https://www.usnews.com/education/k12/articles/school-shootings-how-to-help-kids-cope

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The silent cost of school shootings

Post-Traumatic Stress Disorder: The Aftermath of a School Shooting

GalleryJudy Gurfein Leave a comment

Post-Traumatic Stress Disorder: The Aftermath of a School Shooting

By Fiona McDermut

            After yet another school shooting in the United States left 19 children dead, many parents in grief, and a multitude of survivors in agony, it is time we recognize the impact that is left on the survivors of such devastating events. Although children are known to be particularly resilient, such impactful experiences may lead to post-traumatic stress disorder (PTSD).

            In children, PTSD symptoms are often overlooked or confused with other psychiatric disorders. These symptoms may include restlessness, fidgety behavior, trouble focusing or staying organized, reliving traumatic events through thought or play, nightmares, inconsistent sleep patterns, intense fear or sadness, angry outbursts, avoiding topics associated with the traumatic event, and feelings of denial. These emotions may be triggered by something that reminds the child of the event.

            Such devastating events are hard for anyone to understand, especially a child. If your child has experienced trauma, the symptoms can be best treated if they get in contact with a mental healthcare provider as soon as possible. Even if the child is not ready to talk about the events, many psychologists and psychotherapists can understand the situation by observing the child’s behaviors. Multi modal psychotherapy including cognitive behavioral therapy is frequently used in these situations. In certain situations, your child’s therapist may recommend the addition of safe and helpful medication.

            School should be a safe space for children, but after recent events, apprehensiveness in regard to attending school is understandable. If you or your child is experiencing extreme persistent fear following the recent events, your child will benefit from meeting with a mental health professional to get necessary treatment for his or her symptoms.

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

Sources:

https://www.cdc.gov/childrensmentalhealth/ptsd.html

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https://www.unicef.org/parenting/how-talk-your-children-about-conflict-and-war

Body Dysmorphic Disorder-Beautiful In Your Own Skin Month

GalleryJudy Gurfein 1 Comment

Body Dysmorphic Disorder-Beautiful In Your Own Skin Month

By Fiona McDermut

            In light of the start of “beautiful in your own skin” month, it is important to recognize that many struggle with body image satisfaction. Not all people look in the mirror and feel content with what they see. Even if those around you do not understand your body-related concerns, your feelings are totally valid and can be helped with treatment.

            Body dysmorphic disorder (body dysmorphia) is a mental illness characterized by a hyper fixation on perceived defects in one’s appearance. This interferes with day-to-day life because one may spend a large amount of time worrying or attempting to adjust the perceived flaw. These behaviors usually result in obsessive body comparison to others, avoidance of social interaction, and frequent negative body-checking (looking in the mirror repeatedly at disliked body parts). Unfortunately, many have associated their own happiness with how closely their bodies align with current beauty standards portrayed in the media. As one lets these thoughts progress, they can worsen, and possibly be a precursor to an eating disorder or other disorders associated with body dissatisfaction such as depression and obsessive compulsive disorder.

            While many believe that cosmetic surgery will fix their perceived flaws, research has shown that such surgeries do not improve psychological symptoms of body dysmorphic disorder. The first step to resolving the issue is recognizing that you have a warped view of what you look like. If you or someone you know experiences this, it can be very beneficial to seek psychological/psychiatric assistance. Professionals in the field will be able to decide the best way to treat these disordered thoughts. The most common treatment for body dysmorphia is cognitive behavioral therapy (CBT). Other possible treatments include hypnotherapy, exposure therapy, acceptance and commitment therapy (ACT), and the prescription of antidepressant medication in order to decrease the feelings of dissatisfaction.

            Working with a professional is important in situations like these, but it is still important to remind yourself that your perceived flaws are only noticed by you, and likely not those around you. Nobody is perfect, but with the constant pressure of modern media to be thin, our flaws often appear to be more apparent to ourselves than they are to others. The practice of mindfulness exercises may also help to focus your mind on what you have learned to love about yourself, and of course, do not be afraid to seek help when necessary.

If you or someone you know is struggling with body dysmorphic 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/the-couch/201507/whats-the-best-way-deal-negative-body-image

https://www.psychologytoday.com/us/blog/shrink/201409/how-stop-hating-your-body

https://www.sciencedirect.com/science/article/abs/pii/S1740144507000988

“My Appearance Is the Only Thing I Can Control.”

Image source: https://www.additudemag.com/adhd-related-body-dysmorphic-disorder/

Why Men are less likely to Seek Mental Health Services

GalleryJudy Gurfein Leave a comment

By Jenna Chiavelli

Why Men are less likely to Seek Mental Health Services

Recent research studies have found that men are less likely to seek mental health assistance compared to their female counterparts. Men are also less likely to disclose a mental health problem to friends and family. This isn’t because men are immune to mental illnesses but rather something larger is deterring men from reaching out for help. So what can psychologists attribute this to? The answer is toxic masculinity.

Toxic masculinity refers to harmful social norms about how men should behave that lead to misogyny, homophobia, violence, and mental health issues. In our society, we typically categorize women as the emotional figures and men as the strong and brave figures. Due to these social norms, people assume that men do not need mental health services as it is perceived as unnatural for men to discuss their emotions and feelings. Men themselves see seeking help as a sign of weakness, tarnishing their masculinity.

The media contributes to this societal problem as well, as a majority of mental health advertisements are targeted towards women and feature women. This further perpetuates the idea that mental health is a women’s issue, rather than a human issue. It is time we stop gendering mental health and remove the stigma surrounding men’s mental health.

Why it Matters

In 2020, men died by suicide 3.88x more than women. White males accounted for 69.68% of suicide deaths in 2020. It is abundantly clear that there are men struggling with mental health conditions, so much so, that they believe suicide is the only answer. If we continue to feed into toxic masculinity, men will continue to avoid help when they need it most. So what can we do about it?

Ways to Help

  1. Educate yourself and others – mental health problems are medical problems that can impact anybody regardless of gender.
  2. Talk openly about mental health – sharing personal experiences with mental health problems can make others more comfortable talking about their own experiences.
  3. Show compassion for those with mental health problems – showing compassion for those suffering can help reduce feelings of shame.  
  4. Check on the men in your life – Men are less likely to share their feelings compared to women, so work on having honest conversations with the men in your life. Let them know that you are there for them and stay alert of any concerning changes in behavior.

If you or someone you know is seeking therapy, 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://afsp.org/suicide-statistics/

https://www.psychologytoday.com/us/blog/the-race-good-health/201902/mental-health-among-boys-and-men-when-is-masculinity-toxic

Image

https://www.google.com/search?q=men+talking+stock+photo&sxsrf=ALiCzsbu-vzvw7gQ0DlJn1jmMskY9oPx1A:1653409109623&source=lnms&tbm=isch&sa=X&ved=2ahUKEwjT2Zb1xPj3AhXGj4kEHQ-uAVQQ_AUoAXoECAEQAw&biw=1104&bih=706&dpr=1#imgrc=aODxKQHj2WFASM

Post-College Anxiety

GalleryJudy Gurfein Leave a comment

Post-College Anxiety

By: Julia Massa

Post-college anxiety, or Post Commencement Stress Disorder, though not an official medical diagnosis, is used to describe the uncertainty and anxiety college graduates often feel as a result of their achievement. With both internal and external expectations to “measure up,” graduates find themselves conflicted, depressed, and pressured. Graduates may fear failure due to not finding a job as well as feel pressured to pay back their student debt without having a secure job or realizing that career path just isn’t for them. Furthermore, they may feel alone due to moving back home and changing their social contexts. In fact, 53% of 18-to-24 year old graduates live with their parents after graduation. Homesickness is a cycle, perhaps.

From being a student at the mere age of five to an actual member of society can lead to an identity crisis. Additionally, college students may have trouble sleeping, concentrating, become less interested in socializing, experience shortness of breath or rapid heart rate, feel a lack of control of their life, or numb these feelings with alcohol, drugs, or binge-eating.

Feeling nervous about the future is a normal reaction to uncertainty, especially if you thrive on consistency and routine. Graduates can address feelings of uncertainty by practicing test runs for job interviews, “zooming in” and looking at each step, getting feedback from multiple resources like resume writers or networking events, and embracing the chaos. When life becomes complex, it is important to practice self-care and remind yourself that it is not a bad day- just a complex one. Moreover, if a graduate is stressed about finances, they can be financially proactive and learn banking, create an emergency fund, SAVE little by little, or create a realistic payment plan to pay off their loans. 

Graduating is a bittersweet experience. Adjusting to change can be scary, but in the case of college grads, they are on the path to prosper. Though it is easier said than done, it is important to embrace each chapter and live day by day.

If you or someone you know is struggling with post-college anxiety, 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://extension.wvu.edu/food-health/emotional-wellness/post-graduation-stress#:~:text=Lushkin%20lists%20these%20common%20symptoms,in%20a%20reasonable%20length%20of

https://www.careercontessa.com/advice/how-to-deal-post-grad-anxiety/

https://www.psycom.net/college-graduation-anxiety-expert-advice/

https://www.gile-edu.org/articles/post-graduation-stress/#:~:text=Symptoms%20of%20post%2Dgraduation%20stress%20and%20anxiety%20can%20include%3A&text=%E2%80%93%20Sleeplessness%20and%20irritability.,for%20a%20length%20of%20time.&text=%E2%80%93%20Numbing%20of%20feelings%20with%20alcohol,%2Deating%2C%20and%20recreational%20drugs.

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What are the common mistakes that fresh graduates do?

Depression and Anxiety Post Retirement

GalleryJudy Gurfein Leave a comment

By: Ashley Marron

While many people look forward to retirement and its freedom, it can also trigger anxiety, stress, and depression. In fact, the chance of a person facing clinical depression increases by 40% after retirement. People tend to give lots of thought when planning their retirement; whether it’s traveling the world, pursuing new hobbies, or spending more time with family and friends. However, they often overlook the psychological impact of retiring from work. While many new retirees find retiring to be a great relief from escaping the daily grind, they also find that after several months they may miss the sense of identity, meaning, and purpose that came with their job. They lose the structure that their job gave their days, as well as the social-aspect of having co-workers. Retirees may now feel bored and isolated, rather than free, relaxed and fulfilled. They may even grieve the loss of their old life, and feel stressed or worried about how they will now spend the future.

Retiring is a major life change, and it can seriously take a toll on one’s mental health. Seeking help from a professional can help provide coping mechanisms with these challenges of retirement. Therapy can also help in the treatment of depression and anxiety. There are certainly healthy ways to adjust to this new chapter in your life, and it should be an exciting time, not a negative experience. Therapy can help to ensure that your retirement is both rewarding and happy.

If you or someone you know is seeking therapy for depression or anxiety, 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.msn.com/en-us/health/wellness/post-retirement-depression-recognizing-the-signs/ss-BB1fWAss

Adjusting to Retirement: Handling Depression, Stress, and Anxiety

Image Source

https://www.msn.com/en-us/health/wellness/post-retirement-depression-recognizing-the-signs/ss-BB1fWAss

The Effects of Agoraphobia

GalleryJudy Gurfein Leave a comment

The Effects of Agoraphobia

By: Michaela Reynolds

Agoraphobia is an anxiety disorder that causes an individual to feel an intense fear of being overwhelmed, unable to escape, or unable to get help. Due to this intense fear and anxiety, people will often avoid new places and unfamiliar situations. New places or unfamiliar situations include: open or enclosed spaces, places outside their home, crowds, and public transportation. Usually, Agoraphobia begins with a stressful event that makes an individual feel distressed and in turn, limits their contact with the world. This limitation of contact causes avoidant-behaviors with time the individual remains confined to their home. Agoraphobia is also caused by a stressful life event that triggers a panic attack. Due to the unpleasantness of panic attacks, the individuals will avoid any place or situation that will trigger another panic attack. These instances show that agoraphobia develops over time, rather than happening all at once.

The signs of agoraphobia are similar to a panic attack disorder, but the following symptoms can still occur:

  • Chest pain or rapid heart rate
  • Upset stomach
  • Dizziness or lightheadedness
  • Sudden chills or flushing
  • Fearfulness
  • Hyperventilation
  • Excessive sweating

If you or someone you know is struggling with agoraphobia, 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://my.clevelandclinic.org/health/diseases/15769-agoraphobia

https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/agoraphobia#complications-of-agoraphobia

 Image: https://www.rismedia.com/2020/11/05/are-you-agraid-you-might-have-agoraphobia/