Separation Anxiety Disorder (SAD) in Children

By: Tamar Asayan

School Phobia is now referred to Separation Anxiety. It can also be known as school refusal or school avoidance because it makes going to school very difficult for children. Separation Anxiety Disorder is when someone has excessive fear or anxiety about leaving their home or an attachment figure. In children, their attachment figure is usually their parents because they see them as a figure of protection and do not want to leave their side. Humans require an attachment to parental figures because they provide love, protection, and care to us. Children attach their deepest fears to their parents because they believe they can make any fear go away.

Children who have separation anxiety have a difficult time sleeping alone, going to school, avoiding play dates, and do anything to stay at home with their parents. They also experience symptoms of dizziness, upset stomach, nausea, vomiting, headaches, and have difficulty sleeping. These symptoms can lead to children not wanting to leave their house even more because the thought of a parent leaving can give symptoms of panic and anxious thoughts.

Separation Anxiety Disorder is more common in children who suffer from parents separating or going through a divorce. Any detachment from a parent is experienced as a life threatening danger to the child. They fear they no longer will be protected and will be left alone by their parents. These feelings of anxiety are relieved when they are safe in the presence of their parents to reassure them that they are not going anywhere. In order for children to overcome their separation anxiety and their fear to attend school it is important to seek help as early as they can.

The best method in treating Separation Anxiety Disorder is by Cognitive Behavioral Therapy (CBT); it helps parents and children learn new coping skills when they are separated from each other. It is also important to make your child feel safe and protected in the environment they are living in and develop trust in their parents that they are not going to leave them.

If you are a parent and are concerned about your child having separation anxiety 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/

Source: https://www.psychologytoday.com/us/blog/inside-out-outside-in/201505/what-is-separation-anxiety 

Image: http://childcarephysicans.com/wp-content/uploads/2013/08/blide.jpeg

 

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Listening: Three Ways to Become a Better Listener

listening

By: Tamar Asayan

All anyone ever wants is to be listened to when they are going through a difficult time in their life. An act as simple as listening can be the biggest help anyone can ask for. However, it can also be the hardest thing to do because listeners have a habit of relating issues back to themselves. The aim of listening is not to try to fix them or tell them what to do; instead it is to show them that you care and feel for them as they are struggling. Oftentimes, it is better to not relate issues back to yourself. People feel the need to be listened to because they want to make sure their thoughts are rational, and do not want to overthink. When we listen it reassures the person that we care and that they are not alone.

Three easy steps to becoming a better listener is to listen, understand, and respond appropriately.

  1. Listen
    • Pay attention to not only what the speaker is saying but body language as well.
    • Do not interrupt the speaker.
  2. Understand
    • This is the time to process everything the person has told you so you know how to respond appropriately.
    • Ask questions; the best types of questions to ask are open ended and reflective questions.
    • This allows the speaker to open up even more and explain what they are going through.
  3. Response
    • Address the speaker’s points.
    • Restate what they have told you.
    • Don’t complete the speaker’s sentences. This can come off rude, and interrupts your time to listen and for them to speak. Interrupting and assuming what the speaker is feeling will make them think you do not want to listen.

Sources:

https://blog.udemy.com/importance-of-listening/

https://psychcentral.com/blog/the-generosity-of-listening/

https://psychcentral.com/lib/become-a-better-listener-active-listening/

Image: http://throwthediceandplaynice.com/2017/12/listening-up-in-2018.html

If you or someone you know may be having trouble with communication 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/.

 

Ever Feel Like a Fraud?

By: Stephanie Osuba

Despite your degrees, acclaims, and accomplishments, do you ever sometimes feel like you are an imposter? That you’ve been getting lucky or that you’re a fake in your profession and one day people are going to find you out? As it turns out, you aren’t alone. Many successful people feel this way and often have to step back and remember all the things they have achieved – Maya Angelou and Albert Einstein among these people! While there is no diagnosis or even proper name for this feeling in the DSM-5, there are countless of reports of this in psychology and psychotherapy literature. In fact, the first time the term “imposter syndrome” was used was in an article in 1978 by Drs Pauline R. Clance and Suzanne A. Imes who – after studying 150 educated, established, and highly respected women – found that they didn’t have an internal sense of success and found themselves to be “imposters.”

So what causes this “imposter syndrome” that befalls so many successful people? One reason could be that there is no real measure to success. There is always something more that you can do and regardless of how much success you’ve already had and you think you are content with, self-doubt can always creep in and say you haven’t done enough. Another reason could be “pluralistic ignorance,” which is believing something to be true without being able to prove or disprove it – usually involving unspoken or false beliefs about other people. For example, research has shown that all college students feel anxiety about school but the actual students think they are the only ones who feel that way and other people are having no trouble adjusting to college life. And lastly, talent can make us believe that we haven’t worked hard enough and don’t deserve the praise or success of what comes naturally to us.

Source: https://www.psychologytoday.com/us/blog/the-couch/201811/do-you-ever-feel-fraud 

If you or someone you know appears to be having issues with self-esteem or is suffering from anxiety, 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/

Panic Attacks and Anxiety

By: Dianna Gomez

Panic. Worry. Fear. Helplessness. What is wrong with me? Why am I feeling like this? Why is my heart beating out of my chest? Am I dying? Why can’t I make it stop?!

For some of us, these emotions are all too familiar. Anxiety can be a scary thing, especially when you’re not totally up-to-date on what exactly it is. What are you to do when you feel like your whole world is crashing down around you and there’s nothing you can do to stop it? Well, have no fear because I have a few helpful tips to share!

 

Here are 5 things that you can do to calm yourself down when suffering from an anxiety attack:

  • Take Deep Breathes

Inhale. Exhale. Tell yourself that although it may not feel like it right now, everything will be okay.

  •  Talk Yourself Down

Repeat a calming/kind phrase to yourself OUT LOUD. Remind yourself that you are safe, loved, and never alone.

  • Seek Help

Sometimes we tend to insist that we can get through tough times all on our own, but there is no shame in asking for help. Whether it be a neutral professional, a loved one or someone you trust, find someone with whom you can talk out your troubles.

  • Use Music and Visuals

Never underestimate the power of calming music and visuals. Whether it be classical music, peaceful nature videos/sounds, or your favorite John Mayer song – let the music play and your worries float away!

  • Put Your Anxiety on Ice

Create sensory stimulation by gently sticking both of your hands into a bowl of very cold water with ice. The more ice the better.

 

If either you or anybody you know suffers from anxiety, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can help 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 https://www.counselingpsychotherapynjny.com/.

 

 

 

 

Anxiety: Exposure Therapy Helping Teens Combat Anxiety

By Hannah Pierce

Exposure therapy is a cognitive-behavioral therapy technique in which a person is exposed to a feared object or situation to overcome their anxiety. A majority of researchers and clinicians believe that exposure therapy is the most effective treatment for many anxiety disorders. One study even found that people improved more using this technique than taking antidepressants.

Although exposure therapy is proven to be very effective, it is not frequently used with teens. Many teens suffering with anxiety are prescribed medication rather than receiving therapy. It is difficult for people to consent to exposure therapy because they do not want to do something that will make them feel even more anxious.

One article documented teens’ experiences with exposure therapy. A 14-year-old suffering from social anxiety, depression, OCD, and binge-eating agreed to tackle his social anxiety through exposure therapy. On a busy college campus he sat on a bench next to a stranger and initiated a conversation. To some people this may seem simple but to a teen suffering from social anxiety, the task is very daunting. He sat on the bench and tried to talk to the stranger but the stranger just kept texting and playing with his phone. Although the exchange did not turn into a conversation, at least the teen faced his fear and realized it wasn’t that bad.

Another teen’s exposure involved him holding a sign that read “I’ve been bullied. Ask me.” Thomas hoped to combat his anxiety while also educating people on bullying. Most students on the campus walked by him without giving him a second glance. After a while, a couple stopped to talk to Thomas. The man empathized with him, sharing that he had been bullied as well and the woman applauded Thomas for his bravery.  After the exchange Thomas was very pleasantly surprised and realized he did not have much to be so anxious about.

If you or someone you know may be experiencing anxiety, the psychiatrists, psychologists, psychiatric nurse practitioners or psychotherapists at Arista Counseling can help you. Please contact our Bergen County, NJ or Manhattan, NY offices respectively at (201)-368-3700 or (212)-722-1920 to set up an appointment, or visit http://www.counselingpsychotherapynjny.com for more information.

Source: “The Kids Who Can’t” by Benoit Denizet-Lewis

Generalized Anxiety Disorder (GAD)

gad1

Generalized Anxiety Disorder (GAD)

By Emily Aranda

Anxiety manifests itself in many forms and can be triggered by many stimuli. It is common to think of anxiety as stress that is tied to a situation, person, place, etc. of which rationally causes one anxiety, but generalized anxiety disorder is different. Generalized anxiety is not tethered to a physical or metaphysical thing; rather, it is free floating, does not require a trigger, and is not necessarily rational. Generalized anxiety is excessive, chronic, and interferes with one’s lifestyle. It affects 6.8 million US adults (3.1% of the US population) and is most commonly found in women. It is possible to develop generalized anxiety as a child or as an adult. Those with GAD tend to worry about the same topics as their peers, but to a disproportionate degree.

The mental symptoms of GAD are as follows:

  • Difficulty concentrating
  • Persistent worrying or obsessing
  • Inability to relax or let things go
  • Distress about decision making
  • imagining every option in a situation all the way out to its possible negative conclusion
  • feeling anxiety without an apparent cause

GAD does not only involve excessive worry. GAD involves physical symptoms as well. The following is a list of the physical implications of GAD:

  • Trouble sleeping, staying asleep
  • Hypertension in muscles
  • Fatigue
  • Irritability
  • Trembling
  • Inappropriate sweating
  • Nausea, diarrhea, and irritable bowel syndrome

Generalized Anxiety Disorder is a debilitating condition that can be addressed by a professional. If you or someone you know is having issues with Generalized Anxiety Disorder, contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, and 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, visit http://www.counselingpsychotherapynjny.com/.

 

Source:

http://www.mayoclinic.org/diseases-conditions/generalized-anxiety-disorder/basics/symptoms/con-20024562

Generalized Anxiety Disorder

Generalized Anxiety Disorder

By: Christina Mesa

Anxiety is something that people experience in their daily lives. What characterizes Generalized Anxiety Disorder from normal anxiety is that it is chronic and the anxiety is often brought upon without a specific reason.  The worry you experience can interfere with aspects of your daily life, such as work and relationships.  Generalized Anxiety Disorder affects 6.8 million Americans and affects twice as many women as men.

Symptoms of GAD include:

  • Fatigue
  • Inability to control excessive worrying
  • Expect the worst
  • Restlessness/irritability
  • Difficulty concentrating
  • Muscle tension
  • Difficulty with falling asleep, staying asleep, or unsatisfying sleep

Risk Factors include:

  • Shyness
  • Being divorced or widowed
  • Having few economic resources
  • Stressful life events in childhood and adulthood
  • Family history of anxiety disorders

If you or a loved one appears to be suffering from postpartum depression, 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/

Source: https://www.psychologytoday.com/conditions/generalized-anxiety-disorder

Alcohol Abuse: Put the Drink Down

Alcohol Abuse: Put the Drink Down

By: Kristine Dugay

Abusing alcohol means drinking a dangerous amount of alcohol at one time or developing unhealthy drinking habits. Sometimes people have one too many drinks when they’re celebrating with friends leading to hangovers or throwing up; this is not that. Alcohol abuse can lead to alcohol dependence, otherwise known as alcoholism. Alcohol abuse is defined as drinking too much and too often, while alcohol dependence is the inability to quit. This means you are physically or mentally addicted to alcohol. You become so dependent on it that it becomes your only way to function with day to day living. Alcoholism is a long-term chronic disease that is influenced by your genes and your life situation.

There are several symptoms you should make yourself aware of if you or someone you suspect is alcohol dependent:

  • Prioritizing Alcohol: Drinking will always be more important no matter what condition your body is in.
  • Increased Tolerance: You need to consume more alcohol to get the same effect.
  • No Control: You cannot quit drinking or control the amount you consume.
  • Damaging Personal Relationships: You continue to drink even though it harms your relationships and causes physical problems.
  • Signs of Withdrawal: Anxiety, sweating, nausea, tremors, hallucinations, and muscle cramps.

The longer a person is dependent on alcohol, the worse these side effects become. While many of the results are irreversible, some are even deadly.

If you believe that you or a loved one has or may have issues with alcohol abuse or alcohol dependence, the psychiatrists, psychologists, psychiatric nurse practitioners, social workers, and psychotherapists at Arista Counseling can help you. Contact our Paramus, NJ or Manhattan, NY offices respectively at (201) 368-3700 or (212) 722-1920 to set up an appointment.

Source: http://www.webmd.com/mental-health/addiction/alcohol-abuse-and-dependence-topic-overview#3

College: Majoring in Stress

By: Kristine Dugay

“Get good grades, join sports and clubs, find a part-time job, eat well, and have a social life… but don’t forget to get enough sleep!” These are the unrealistic expectations college students are tired of hearing and trying to achieve. The fact is, 24 hours just isn’t enough time in one day. Stress is a huge underlying factor contributing to depression within college students. 44% of American college students report having some form of mental illness, including depression. However, 75% of these students do not seek help for these problems. Although college life can be hard to handle, there are ways to reduce and manage stress.

Practice time management skills: You will get a feeling of control over your life.

Find humor in your life: Laughter is the best medicine.

Avoid procrastination: It can affect the quality of your mood, work, and sleep.

Practice good sleep habits: Sleep deprivation can cause physical and mental problems.

Work within your limits: Set realistic expectations for yourself and others.

Seek the support of your friends and family: Vent sessions relieve tension and stress.

It’s easier said than done to accomplish these “small” tasks. If you believe that you or a loved one has or may have issues with depression, anxiety, or stress, the psychiatrists, psychologists, psychiatric nurse practitioners, social workers, and psychotherapists at Arista Counseling can help you. Contact our Paramus, NJ or Manhattan, NY offices respectively at (201) 368-3700 or (212) 722-1920 to set up an appointment.

Source: http://www.healthline.com/health/depression/college-students#2

Athletes and Psychological Issues

4 Psychological Issues Behind Athletic Performance

By: Kristine Dugay

1. Self-Confidence/ Self-Esteem

Sports demand trusting your ability to perform at your greatest level of competition, both physically and mentally. Self-criticism is the most difficult obstacle to overcome, yet it is the foundation in being able to achieve your goals. An athlete perceiving oneself as a failure is the most typical problem with self-confidence and it becomes a distraction to your athletic performance.

2. Stress and Anxiety

Whether it’s from a parent, coach or you, being reprimanded, criticized, or condemned for making mistakes or performing below expectations causes stress and anxiety. It becomes more difficult for athletes to perform when they are overloaded by the tension and pressure, and their ability to focus is impaired by their lack of judgement and diminished self-confidence.

3. Perfectionism 

Athletes will go to extreme measures to continue striving for perfection and go well beyond the recommended levels of training. Training too intensely for too long of a duration can result in injuries that are often neglected and cause extreme exhaustion on the body that lead to “burnout”. This can lead to depression, anxiety, irritability, and a high susceptibility to illnesses. Athletes tend to lose their composure and take their heads out of the game when they’re not performing at the level they expect to.

4. Relationships

Building a strong relationship with your coach and teammates is vital. Often, within young athletes favoritism occurs amongst the best players and this becomes demeaning and discouraging within an individual. Feelings can be easily hurt, but they can also be very hard to repair. As an athlete, you aspire to be recognized and appreciated and without this attention, it is difficult to perform your best.

Fortunately, methods are available to lesson these issues before and during athletic performance. Prevention of these consequences involves careful examination of the behavior and early intervention, as well as thorough review of goals, values, beliefs, and priorities.

If you believe that you or a loved one has or may have issues with anxiety, relationships, stress, or self-esteem the psychiatrists, psychologists, psychiatric nurse practitioners, social workers, and psychotherapists at Arista Counseling can help you. Contact our Paramus, NJ or Manhattan, NY offices respectively at (201) 368-3700 or (212) 722-1920 to set up an appointment.

Source: http://www.sportpsychologytoday.com/youth-sports-psychology/common-mental-game-challenges-for-athletes/