What Not To Say To Your Grieving Friend

By: Tehila Strulowitz

After hearing the tragic news of a death, there are three possible reactions the bereaving person could have to our response: feel even sadder, become angry, or feel reassured that things will be okay. We, as the reactor who is not directly experiencing their exact loss, want nothing more than to miraculously attain Merlin’s wand, and magically make their sadness, pain, confusion, and grief disappear. We just want to make it better. But for some reason, a completely inoffensive, caring response seems like it’s a fictional, fantastical possibility.

With a response that knocks us loving, caring people to our knees, Litsa Williams, licensed clinical social worker and creator of an online grief community called What’s Your Grief, says that none of our well-thought-out poignant phrases, earnest lamentations, or solemn sorrow at the beginning of the grieving process “can’t make it even a little bit better.” To prove her point, Williams brought some examples of common, pithy sayings that people say and the counterexamples of the griever’s possible thoughts in response:

Well-meaning person: “He/she is in a better place now.” Grieving person: I couldn’t care less! I want them here with me now!

  • What we learn: Closely following the death, a grieving person won’t find comfort in other people telling them that their loved one is “in a better place.” At that moment, they just want them back, and think there is no “better place” than being right here on Earth with them. It can also perpetuate confusing thoughts they are having about an afterworld, and it may induce guilt because they believed their whole lives that Heaven is a good place, but right now they don’t want that loved one to be in Heaven – they want them here.

Well-meaning person: “I know how you feel.” Grieving person: No losses are the same. Stop trying to compare your pain to my current pain. You can’t possibly feel exactly what I am feeling.

  • What we learn: Comparing grief doesn’t get anyone anywhere. Even if you might think that it’s rational that you lost your loving mother and so did your friend, your friend isn’t in the headspace to start having that conversation. They want to be comforted – not told that their grief is comparable to yours, or anyone else’s, for that matter.

Well-meaning person: “It will get easier.” Grieving person: It’s impossible for me to forget the person I love, and will never move on from this strong, intense grief! It would be wrong to do that to them and their memory!

  • What we learn: Williams points out, “Remember, this list is not about things that aren’t true.  It is about things that aren’t helpful to say.” Rationally, we know that most people learn to live with the grief, and the pain doesn’t feel as strong or new over time, but when that bereaved person is still processing the death and feeling the fresh, raw sting of the loss, they want nothing other than for someone to recognize, accept, and hold their hand through their current reality. Additionally, they may feel like it’s unjust or cruel to start healing and “moving on” from the one they are grieving. They probably won’t want to even imagine the possibility of letting go of that pain to some extent. Giving them the space to feel their grief at the moment is crucial so that they know that your intentions are to be there if they ever need a shoulder to cry on, a hand to squeeze, or some more tissues delivered, and not to be imposing or offering what you think to be wisdom but they think to be insulting, hurtful, or condescending.

Well-meaning person: “God has a plan,” “It was God’s will,” or “Everything happens for a reason.” Grieving person: Why would God plan or will something so painful to someone? Why would God make us suffer and feel pain like this? I don’t care if this is God’s plan or not – it sucks.

  • What we learn: Many do find it comforting to think that there is a greater plan that God has for them. However, the grief and intense pain they feel now might cause them to doubt, or even hate, God, religion, or even their faith and beliefs as a whole. These troubling thoughts can even occur in the minds of very religious people. Williams says that it can even cause faith-based doubts in the minds of those who do not consider themselves religious. To sum up, Williams says, “Better safe than sorry – steer clear.”

Essentially, grieving people are uninterested in comparing or doubting anything. They just want to be listened to. Williams suggests doing things to remove stress and help them feel at ease during the process, whether that be sending over meals, arranging for childcare, or helping financially by collecting funds for the funeral costs, just to name a few. Frequently, those grieving don’t remember what you said, so don’t worry about possibly hurting a grieving friend or loved one in the past. Just focus on listening, being sympathetic, and loving.

While experiencing feelings of grief, some may have difficulties such as trouble sleeping, concentrating, eating, anger, extreme sadness, difficulty socializing, drinking alcohol, smoking, or using drugs, just to name a few. Some disorders related to grief or losing a loved one include acute stress disorder, depression, generalized anxiety disorder, panic disorder, post-traumatic stress disorder, prolonged grief disorder, and substance use disorder.

Trauma From an Assassination Attempt and the Effects of Social Media

By: Tehila Strulowitz

On July 13th of this year, a shot was witnessed around the world when a skinny, pale 20-year-old with an AR-15-style rifle climbed onto a roof facing former President Donald Trump’s rally and fired. After the crowd got up from the ground when police said it was safe, but before paramedics could arrive, millions of people already had photos and videos of the incident on their devices and were chasing the story for updates.

Research outlines how witnessing these events through such graphic and detailed media not only makes us afraid and panicked, but also leads us to doubt our society. We start to think that if we scoured the dark web enough, we’d be able to prevent shootings, or that our children’s classmates who are on the fringes of the social scene might just shoot them one day. We may even convince ourselves that we need a gun for our personal safety and survival.

Universally, we consider leaders to be among the most protected and secure people in our country. When we witness political violence firsthand or through videos and photos, we automatically begin to fear for our own safety and security. As psychologist Dr. Zachary Ginder points out, witnessing a violent attack on a government authority—whether in real-time or via video—leads us to question and doubt our “sense of social order, control, trust, safety, and security.”

One thing that the boom of social media has demonstrated, validated by numerous studies, is that we easily obtain extensive video and photo coverage of violent attacks, whether they involve shootings, terrorist attacks, assassination attempts, or others. The ability to see every single moment from every angle of a violent incident, due to continuous media coverage and the ease of sharing on social media, serves to sustain our trauma and panic, according to Roxanne Cohen Silver, a professor of psychological science, medicine, and public health at the University of California, Irvine.

Experts suggest several ways to relieve anxious feelings: avoid listening to and perpetuating conspiracy theories by ensuring that you’re getting your news from reliable sources; take time to establish and maintain regular habits that support your self-care; channel your energy into advocacy and “positive action,” which can help many feel more in control; focus on kindness and positivity; and seek help when needed to process trauma in a healthy way rather than remaining in a traumatic mindset.

If one’s reaction to trauma is intense, they may experience difficulties such as trouble sleeping, concentrating, irritability, anger, lashing out, or paranoia. Disorders related to traumatic reactions—whether the experience was direct or indirect—include acute stress disorder, depression, generalized anxiety disorder, panic disorder, post-traumatic stress disorder, and substance use disorder.

Depression: Do Genetics Play a Role in Depression

Depression: Do Genetics Play a Role in Depression

By: Josette DeFranco

Major depressive disorder is a condition that affects many individuals. Major depressive disorder can range from being clinically mild and short-lasting to recurring over and over again, to being highly chronic and treatment-resistant. Depression is known to run in families indicating that there are genetic factors. It can be a combination of life experiences and environment. Genetics plays a mild role in depression. Also, families with certain genetic patterns lived eight years shorter than average. As depression may range from transient to debilitating it is expected that many different sets of genetic alterations are involved. Some genes are associated with weight and body, neuron development, and brain inflammation and another group is associated with proteins that tell the immune system which cells are friendly and which are not. This means that our genetics can not only influence our physical characteristics but also how our brain functions and our immune system interacts and identifies with different cells in the body. Your environment can modify the genetic factors that play a role in depression.

If you are concerned about a strong history of depression in the family and are scared about it affecting you or your future children a study suggests that even with a high tendency for depression, psychotherapy or behavioral activation therapy can reduce it. Individuals need to understand the life-changing impact their environment can have on their mental health. Our emotions are generated by our thinking which may serve as an influence on our behaviors. You may have had genetic roots of depression, a difficult upbringing, or a terrible tragedy that has currently occurred but if you change your thinking then your emotions will change as well.

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

Sources:

https://www.psychologytoday.com/us/blog/the-athletes-way/201603/depression-new-research-shows-genetics-are-not-destiny

https://www.psychologytoday.com/us/blog/psychiatry-the-people/201804/massive-study-clarifies-genetic-risks-major-depression

https://www.psychologytoday.com/us/blog/the-three-minute-therapist/202007/overcoming-genetically-based-depression

Anxiety and Learning in Children

Anxiety and Learning

By:Stefani Stojanoska

It can be difficult for anyone to learn when their anxiety takes over. Anxiety can make it difficult to focus and pay attention. An individual’s anxiety takes over concentrating on other things other than learning. An example of this is if someone’s loved one is feeling sick they can be worried about them instead of focusing on what they are supposed to learn. When people feel stressed their body goes into “fight or flight” mode. Anxiety makes memory difficult since people tend to “freeze” when feeling anxious. When this happens it is tough for individuals to process new information. When people are in these “fight or flight” modes they tend to make bad decisions such as worrying about other things which can slow down their learning and memory. Anxiety can also hold back creativity. They might be worried about what others will think about their ideas which might result in their holding back and sticking with an ordinary idea.

Ways parents can help children

  1. Get help as soon as possible. Parents can talk to their child’s teacher to learn ways to help their child. Consult a child psychologist who can recommend ways to help reduce their anxiety and improve their learning.
  2. Parents can talk to their children about what causes their anxiety. They can teach them ways to calm down before going to school. This topic should be discussed daily with children so that each day it can become easier for them to control their anxiety.
  3. Parents can do academic learning at home that way the child will be in a comfortable setting and will be able to improve. The parent can work on academic subjects with their child at home so that they can learn since their anxiety makes it difficult for them to learn in a school setting. The parent can get help from the teacher so they know what they have to learn.

If you or someone you know is struggling with anxiety or their mental health, 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, Manhattan, NY offices respectively, at (202) 368 3700 or (212) 722 1920 to set up an appointment. For more information, please visit https://aristapsychiatrypsychotherapy.com/  

Depression: Let’s Talk About It

By: Nicole Cutaia

Depression: Let’s Talk About It

Depression is often times stereotyped through societal misconceptions and labels that portray individuals experiencing the condition as weak or even attention-seeking. But it is important to normalize depression, Having depression does not mean one is weak, a failure, or lazy, it simply means one needs mental health assistance. The stigma against mental health is a reason to why people battling with mental disorders such as depression, do not reach out for therapy or treatment.

Normalizing depression also allows individuals to become exposed to and educated on the mental disorder. Some people are genuinely not aware of what specific mental illnesses or disorders are so having an open discussion is very important.

Common symptoms of depression are constantly experiencing sadness or feeling the need to cry, feeling remorseful; life beginning to seem meaningless, having a negative attitude, decreasing activities you used to enjoy, changes in sleep, and experiencing irritability.

Life can get very busy and overwhelming; putting your mental health first is a priority. If you or any loved ones you know are experiencing symptoms of depression, it is vital to talk to someone.

If you or someone you know is having mental health difficulties and/ or experiencing symptoms of depression, please contact our psychotherapy offices in New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our offices at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Anxiety: Social Anxiety

Anxiety: Social Anxiety

By: Stefani Stojanoska

Social anxiety disorder is a persistent and intense fear of social settings. People who have social anxiety are afraid of being judged by others or humiliated. This disorder can affect an individual’s daily life such as work and school. Being able to do daily things such as eating or using the bathroom can cause an individual to have an intense amount of anxiety.

Here are some symptoms of Social Anxiety Disorder

  1. Avoiding eye contact and speaking in a soft voice
  2. Feeling self-conscious or feeling others are always judging you
  3. Sweating, trembling, shaky voice, and rapid heartbeat when in social settings
  4. Worrying about upcoming events or activities

Some treatments for Social Anxiety Disorder

  1. Cognitive behavioral therapy-This therapy helps individuals learn how to think, behave, and react to social situations to help reduce anxiety
  2. Medications are also helpful for social anxiety. The best types of medications for this disorder are SSRIs and SNRIs. SSRIs increase serotonin levels while SNRIs increase serotonin and norepinephrine levels.
  3. Hypnotherapy is a great way to help reduce anxiety. Individuals who choose hypnotherapy will learn how to get into a state of relaxation. This will allow them to learn how to relax their mind without feeling anxious.

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

Work-Life Balance

Work-Life Balance

By: Josette DeFranco

Are you feeling overwhelmed due to the lack of balance in your work and personal life?

Work-life balance is important because it affects you, your family, and others. You need the time and energy to participate in your own personal interests, family, and community activities. A workplace that supports employees’ well-being and allows their employees to focus on their mental health is an excellent way for them to avoid burnout.

Here are some healthy work-life balance tips:

  • Take breaks
  • Set boundaries
  • Learn to say no
  • Prioritize your mental health
  • Set goals
  • Practice Mindfulness
  • Create a flexible work schedule
  • Seek support

It is important to acknowledge how this balance can benefit you. It’s easy to get caught up in your job and neglect your wants and needs. These are just a couple ways having a work-life balance can help you; create healthier workplace relationships, improve your mental health, enhance your physical health, and have better productivity at work.

If you, your child, or someone you know is experiencing back-to-school anxiety, social anxiety, or other anxiety disorders or mental health issues, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrist, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan offices respectively, at 201-368-3700 or 212-722-1920 to set up an appointment. Please visit http://www.counselingpsychotherapynjny.com/ for more information.

Sources:

https://www.psychologytoday.com/us/blog/presence-of-mind/201509/hows-your-work-life-balance

https://www.timedoctor.com/blog/work-life-balance-tips

Social Anxiety in Back to School Students

Social Anxiety in Back to School Students

By Melissa Rodriguez

Going back to school can be exciting for students of all ages. Along with the feelings of newness and back-to-school excitement, feelings of nervousness and social anxiety can also arise. Students may feel nervous or anxious starting a new school year. All of the new people students will be around and the new environment they are placed in can cause them to feel socially anxious, unsure, or nervous about the new changes. According to the National Institute of Mental Health, about an estimated 31.9% of young people experience at least one anxiety disorder in their lifetime.  

Social anxiety is a fear of social situations. Those with social anxiety are usually more shy, quiet, and overall socially reserved. Some physical symptoms students with social anxiety may feel are: shortness of breath, a churning sensation in the stomach, palpitations, out of body experiences, muscle tension, and feeling lightheaded or dizzy sensations. Some psychological symptoms students may face are: a constant feeling of being judged in social settings, always worrying that you will embarrass or humiliate yourself, having a crippling fear of interacting socially with others, avoiding an event or interaction where you feel you are the center of attention, and constantly being critical of and judging oneself.

If back-to-school anxiety persists longer than the first couple weeks and if you notice that it is causing distress to the daily life of the student, meeting with a therapist may be beneficial to help the student better manage their symptoms and help them go back to school comfortably. This may increase their confidence in school or other social settings, and help them feel more comfortable and confident in their new social environments.  

If you, your child, or someone you know is experiencing back-to-school anxiety, social anxiety, or other anxiety disorders or mental health issues, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrist, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan offices respectively, at 201-368-3700 or 212-722-1920 to set up an appointment. Please visit http://www.counselingpsychotherapynjny.com/ for more information.

Sources:

https://adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/back-school-anxiety-what-parents-and

Image Source: https://www.educare.net.au/living-with-social-anxiety-personal-stories-and-coping-mechanisms/

Social Anxiety: The Impact of Social Media on Social Anxiety

Social Anxiety: The Impact of Social Media on Social Anxiety

By: Josette DeFranco

Social anxiety is very common and can be a part of your everyday living whether it is online or offline. Social anxiety means you have persistent fears about being in social situations. Social media has become society’s major way of communicating. It has allowed users to create their own distinctive profiles and content to share with others. It has been found that social media use has caused unrealistic goals and expectations. This can create low self-esteem and a lack of in-person interactions. This may lead to anxiety because you may feel like you don’t live up to your social media image. Nonetheless, it may cause you to feel judged by your choices or appearance. It is important to pay attention to your emotions when logged onto social media and to remember that others experience similar thoughts.

Should you take a break from social media?

Social media can affect individuals differently. However, if you notice social media is causing damage to your mental health, self-esteem, social interactions, and making your moods worse then you may want to consider a social media break. Having a social media break even for a week or a month could enhance your mental state, allowing you to reflect and focus on your mental health needs. It has been noticed that individuals felt more grounded and less anxious, isolated, and depressed.

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

Sources:

https://www.sciencedirect.com/science/article/pii/S245195882100018X

https://www.psychologytoday.com/us/blog/thriving-with-the-challenges/202208/a-social-media-vacation-is-waiting-for-you

The Lessons of 9/11: Therapy and Resilience

By: Tehila Strulowitz

The other day I was sitting in my college Renaissance History course, learning about the joy, beauty, and creative innovation of an era that spanned three centuries following roughly 1,000 years of life so bleak and horrible that it gained an additional name: the “Dark Ages.” At one point during the lecture, my professor made an off-the-cuff remark about how since every generation spans more or less 20 years, and within that generation, everything that happens in the world is considered “current events,” the 23rd anniversary of the tragic day that is 9/11 is now considered “history.” We all sat there a little shocked and confused because how could over twenty years have passed and how could something discussed so frequently in the United States be considered history?

On the morning of Tuesday, September 11, 2001, first responders flocked by the thousands to the only building complex in the 10048 zip code in Lower Manhattan upon hearing the devastation that was unfolding in New York City. Thousands of therapists (social workers, psychologists, other mental health professionals, and so on) rushed to Manhattan in what psychologist Ghislaine Boulanger described as a “feeding frenzy” of therapists hurrying to help, (some even walking to fire stations and simply standing outside in case someone wanted therapy) all without knowing what helping would entail, all to assist in the efforts taking place in the aftermath of such a traumatic event witnessed live by hundreds of thousands of people. Boulanger, along with psychoanalyst and interfaith chaplain Margaret Klenck, described how at first the mental health professionals on the scene at that time were diving right into “the nitty-gritty” of therapy or “overmedicating people with tranquilizers and antidepressants,” when in reality, Klenck said, they were not depressed. They were traumatized and grieving, so naturally they were crying.

Psychologist Donna Bassin, who was a therapist for victims and their family members following 9/11, noticed that she was “emotionally transformed” by being a therapist during that time. “I started becoming more aware of community trauma, realizing how much people needed each other, not just 45 minutes in the psychotherapy office.” Years of trauma research and research on effective therapeutic practices have proven that most clients do not respond positively to long, detailed, and intense therapy immediately following a traumatic event. Richard McNally, a psychologist at Harvard, remarked how one of the most impactful lessons that were learned due to 9/11 was that people are far more resilient than we, specifically therapists in this case, thought.

As we look back on the past 23 years following a day that caused a loss of life for nearly 3,000 people and injured over 6,000, one lesson is starkly clear: we, as a community and as a nation, are more resilient than we think. We have built a bronze memorial, and etched in its surface the names of every single victim. We have built a new building in its place, 1,792 feet in the air, looking down over not only the historical New York City but also the 70-foot-deep memorial for the buildings. Therapists, first responders, the government, and doctors alike have all discovered new and more effective ways to deal with a country wreaked by terror and tragedy, and have created and discovered new ways to help people, built on the ashes of terror of times past.

Just like the “rebirth” that the Renaissance was, in 2024 we, too, can usher in our own enlightenment.

Psychiatric disorders associated with trauma exposure: PTSD, major depressive disorder, generalized anxiety disorder, panic disorder, and substance abuse disorders.

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

https://www.nytimes.com/2009/09/11/nyregion/11nyc.html

https://www.nytimes.com/2011/07/29/health/research/29psych.html

https://www.sciencedirect.com/science/article/pii/S2214999614002926