Panic Attacks

Panic Attacks

By: Lauren Hernandez

Many people face anxiety on a daily basis. Panic attacks are an extreme form of anxiety that many people experience. Panic attacks are described as an immediate fear of dying, going crazy or losing control. People who experience panic attacks may feel intense fear despite no real danger. Attacks may last anywhere from about ten minutes to an hour or more. Panic attacks are categorized as either situational or unexpected. According to PsychologyToday, “situational panic attacks are triggered by a particular scenario while unexpected panic attacks seem as though they come out of nowhere.”  While general anxiety is the worry that bad things might happen in one’s life, panic attacks feel like a surge of imminent danger and often have physical symptoms.

Symptoms of panic attacks include:

  • Increased heart rate or palpitations
  • Sweating
  • Trembling or shaking
  • Shortness of breath or a feeling of being smothered
  • Choking sensations
  • Chest pain or discomfort
  • Nausea
  • Dizziness or lightheadedness
  • Feelings of unreality or being detached from oneself
  • Numbness or tingling sensations, particularly in the extremities or around the lips
  • Chills or hot flashes

Panic attacks are a terrifying experience; however, they are quite treatable and can be helped with a combination of therapy and medications. For people who experience situational panic attacks, it is best to leave the feared situation which will typically decrease anxiety and end the panic attack. For people who experience unexpected panic attacks, take note of where, when, and possibly why the panic attack began in order to analyze this occurrence further with a mental health professional. Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that is one of the most common methods of treating panic attacks and anxiety disorders. Additionally, medication such as Selective Serotonin Reuptake Inhibitors (SSRIs) can help relieve anxiety and prevent panic attacks. Immediate relief can be achieved when benzodiazepines such as Xanax and Klonopin are taken. These medications are potentially abusive so they must be used with caution. If you or someone you know is suffering from panic attacks or severe anxiety, contact a therapist, psychologist, or psychiatric nurse practitioner who can help.

If you or someone you know who may be suffering from panic attacks, 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/anxiety-help/201109/panic-attacks-what-they-are-and-how-stop-them-0

Image Source: https://www.google.com/search?biw=990&bih=595&tbm=isch&sa=1&ei=Q5wHXaiRELCE5wL-1K6gAg&q=anxiety&oq=anxiety&gs_l=img.3..0j0i67l3j0j0i67l2j0j0i67j0.33453.34341..34459…0.0..0.142.768.0j6……0….1..gws-wiz-img…….35i39.JBLUi8nw2og#imgrc=403Bvppt5PFdbM:

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Shyness and Introversion

Shyness and Introversion

By Crystal Tsui

We all know someone who prefers to stay in rather than go out and party or someone who barely talk in a group setting. We may call them shy, quiet, or maybe socially awkward. But they may just be an introvert. Introversion and shyness are often times used together. However, shyness revolves around the fear of negative judgment while introversion is the preference for quiet, minimally stimulating environments. So it is possible for a person to be a shy extrovert, where the individual is afraid to speak up, fearing negative judgment, more so than exhausted in a certain social situation.

Despite the difference, there is also an overlap between shyness and introversion, e.i. many shy people are introverted. Some people are born with “high-reactive” temperaments that predispose them to both shyness and introversion. A shy person may become more introverted over time, motivated to discover the pleasures of solitude, other minimally stimulating social environments, and to move away from judgments. On the other hand, an introvert may become shy after continually receiving the message that there’s something wrong with them.

There’s a shared bias in our society against both shyness and introversion. Neither trait is welcomed in our society because studies have shown that we rank the fast and frequent talkers as more competent, likeable, and even smarter than slow and quiet talkers.

Here are 5 ways introverts can spend time that is deeply fulfilling and socially connected:

  1. Reading. Books transcend time and place. Studies have shown that reading fiction increases empathy and social skills.
  2. Enter a state of “flow” by doing work or a hobby that you love. Flow is the transcendent state of being, in which you feel totally engaged in an activity. People in flow don’t tend to wear the broad smiles of enthusiasm. When you watch them in action, the words “joy” and “excitement” don’t come to mind. But the words “engagement,” “absorption,” and “curiosity” do.
  3. Keep an informal quota system of how many times per week/month/year you plan to go out to social events and how often you get to stay home. This way you can plan which parties or get-togethers you can truly enjoy and which you don’t. So you are less likely to drive yourself mad thinking you should’ve stayed home.
  4. Have meaningful conversations.
  5. Spend time and show affection to the ones you love, whose company is so dear and comfortable that you feel neither over-stimulated nor anxious in their presence.

If you or someone you know is dealing with social anxiety or suffering from a disruption of their social life, 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.quietrev.com/wp-content/uploads/2015/05/QR_ebookMay8-2015.pdf

https://www.nytimes.com/2012/01/15/opinion/sunday/the-rise-of-the-new-groupthink.html?_r=0

https://live.staticflickr.com/627/21427437162_910d54e08e_b.jpg

Learning How to Face Rejection

rejection

By: Tamar Asayan

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

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

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

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

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

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

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

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

 

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/.