Grief: Losing a Parent to Suicide

Grief: Losing a Parent to Suicide

By Emily Ferrer

Suicidal thoughts are one of the most dreadful experiences one can go through and it is even more dreadful when the act of suicide is carried out by someone you love. The impact of suicidal thoughts on an individual is grueling, painful, and terrifying. However, many people tend to forget about the terrifying and painful part that the individual’s family and friends go through as well. The attention around suicide is always so focused on the suicidal individual that many people forget about the impact it can have on their loved ones. In fact, have you ever thought about losing a parent to suicide? It may seem horrifying and extraordinary; but it is more common than you think. Individuals who are at most risk to die by suicide are adults over the age of 45. More specifically, women are most at risk between the ages of 45-54 and men are most at risk ages 85 and older[1]. Many people may find this shocking, as the media portrays suicide rates to be the most high in adolescents and teens, but this is just not the case. Older individuals usually have undiagnosed or untreated depression and anxiety, a lack of frequent social interactions, suffer from underlying illnesses that may increase their attempt to be more successful, and/or suffer from chronic illnesses that may increase their depression and anxiety[2].

As saddening as these statistics are, it is even worse to see that between 7,000 and 12,000 children lose a parent to suicide every year[3]. It is devastating for children to experience such a traumatic event in their lives, especially someone they loved, admired, and relied on unconditionally. Losing a parent to suicide is not like normal grief that you experience after losing someone to a physical illness or accident. Losing a parent to suicide is grieving on steroids. “Grief comes in waves and grief from suicide comes in tsunami waves”, is great quote that explains how dreadful suicide grief can feel. Children of parents who died by suicide can experience an enormous range of emotions that can cause them to feel very confused. These emotions include[4]:

  • Shock                              – Panic                                       – Despair
  • Confusion                       – Intense anger                          – Disgust
  • Denial                             – Intense sadness                      – Feelings of abandonment or rejection

It is important to know that losing a parent to suicide is extremely unfortunate and traumatic. The emotions tied to suicide grief are understandable and completely normal. Staying close to family and friends during such a difficult time is crucial and can enormously help with healing. It is also critical to feel the emotions you experience and to not turn them away as it is a part of the healing process. Seeking professional help if you are feeling overwhelmed with these emotions or experiencing them for a long time is also is a good way to heal in the healthiest way possible.

If you or someone you know is grieving a lost one due to suicide, 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://www.counselingpsychotherapynjny.com


Sources:

[1] https://www.samhsa.gov/suicide/at-risk#:~:text=Adults%20Over%20the%20Age%20of%2045&text=Eighty%20percent%20of%20all%20deaths,and%20access%20to%20lethal%20means.

[2] https://www.prb.org/resources/in-u-s-who-is-at-greatest-risk-for-suicides/

[3] https://www.hopkinsmedicine.org/news/media/releases/children_who_lose_a_parent_to_suicide_more_likely_to_die_the_same_way#:~:text=In%20the%20United%20States%2C%20each,to%20suicide%2C%20the%20researchers%20estimate.

[4] https://psychcentral.com/lib/an-open-letter-to-children-who-lose-a-parent-to-suicide#mental-health-effects

Retirement: The Pros and Cons of Early Retirement

Retirement: The Pros and Cons of Early Retirement

By Emily Ferrer

Retirement is thought to be one of the most admirable events that happen in one’s life. However, there is also a darker side to retirement that many people do not know about when making the big decision to take their 401K savings investment and leave their jobs. Retirement, although seemingly glamorous and freeing, can also be extremely lonely, unfulfilling, and cause major financial issues. The average age of retirement in the U.S. is 63 years[1] and the average lifespan of a person in the U.S. is 79.1 years[2].  This means that many people, on average, have 16 more years after retirement to accomplish everything they have always wanted to do. While 16 years may not seem like a very long time to some people, it can feel extremely long to many retired individuals who only make $1,620 a month through social security, become empty nesters in their homes, or have lost their spouse or friends to old age and illness. Therefore, it is important to be aware of the pros and cons before retiring from your job.

Pros:

  • May improve physical health by having more time to exercise, get outside, and eat healthier[3]
  • More time to travel
  • More time to pursue passions
  • More time for friend and family relationships

Cons:

  • May lead to decline in mental health (e.g. depression, suicidal ideation, anxiety, panic)
  • May lead to feelings of loneliness and boredom
  • Feelings of loss of purpose in life
  • Lack of daily structure
  • Social Security benefits will be smaller if retiring earlier than your “full retirement age”[4]
  • Losing employer-sponsored health benefits
  • Outliving your savings

It is important to be aware of the issues that retiring early may cause. After retirement, it is vital to keep an active life style, both mentally and physically. This includes keeping up with preventive care, exercising regularly, eating and drinking healthily, staying social with friends and family, and finding a new purpose in life[5]. However, if you are struggling mentally due to early retirement, it is vital to seek professional treatment to avoid any more serious symptoms.

If you or someone you know is struggling with retirement and/or depression, 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://www.counselingpsychotherapynjny.com


[1] https://www.forbes.com/advisor/retirement/average-retirement-age/#:~:text=While%20the%20average%20U.S.%20retirement,retirement%20benefit%20is%20roughly%20%241%2C620.

[2] https://www.cdc.gov/nchs/data/vsrr/vsrr023.pdf

[3] https://www.investopedia.com/articles/personal-finance/073114/pros-and-mostly-cons-early-retirement.asp#:~:text=Pros%20of%20retiring%20early%20include,depressing%20effect%20on%20mental%20health.

[4] https://www.investopedia.com/articles/personal-finance/073114/pros-and-mostly-cons-early-retirement.asp#:~:text=Pros%20of%20retiring%20early%20include,depressing%20effect%20on%20mental%20health.

[5] https://www.bankerslife.com/insights/healthy-aging/9-healthy-habits-for-healthy-retirement/

Self-Diagnosing: Why it’s bad to do it

Self-Diagnosing: Why it’s bad to do it

By Erika Ortiz

You feel an itchy throat, sneezing, coughing here and there, body feels a bit sore. You wonder what it can be so you look it up. Dr. Google says you’re dying and Dr. TikTok says you’re terminal! Now you’re stressing out thinking your cold turned out to be something fatal. We are all guilty of self-diagnosing. However, as innocent as it may seem, it can lead to a lot of serious issues down the road. Essentially, self-diagnosing is the process of giving yourself a medical condition based on what you know or searched, without any real credentials.

               Recently, on the social media app called “TikTok”, many creators post videos claiming, “Signs that you have depression”, or, “You have OCD if you do these things”. Although this is a great way to normalize mental health and eliminate the negative stigma around it, people are naturally easily influenced beings that want to relate to others whether it is negative or positive. However, self-diagnosing based on what you see on the web is usually not the best course of action to take when searching for real help. One issue with self-diagnosing is that it is over-simplified. Diagnosing someone is an extremely complicated process that needs to be met with certain criteria and even the specifics of the diagnosis varies immensely based on specific symptoms. It really isn’t “cut and dry”, it is a much layered process. In addition, this can lead to getting improper and ineffective medical attention or a treatment plan you may not need which can delay any potential, real help you  actually need. The information you may see online can be well-intentioned, however, it can still be misinformation which can be misread and misunderstood.

               Self-diagnosing creates a feeling of validation and security for people who may feel uncertain or confused as to why they are feeling a certain way. It is perfectly fine to do your own research, in fact it is encouraged. Being self-aware is important; however, it is also important to understand the differences between the traits you may exhibit and actual symptoms you read or see online that can pertain to a certain disorder. Before you self-diagnose based on information on Google, ask questions such as, “Is this person a professional?”, “Is the creator posting this to get paid or is it well-intention?”, or, “Does this actually apply to me specifically or generally?”  In conclusion, it’s better to try and avoid the self-diagnosis and to seek qualified professional help.

If you or someone you know wants diagnosis on 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://www.counselingpsychotherapynjny.com

Sources:

https://www.everydayhealth.com/emotional-health/young-people-are-using-tiktok-to-diagnose-themselves-with-serious-mental-health-disorders/

https://news.harvard.edu/gazette/story/2015/07/self-diagnosis-on-internet-not-good-practice/

https://ct.counseling.org/2022/03/self-diagnosis-in-a-digital-world/#

Bipolar Disorder: What is Bipolar Disorder?

Bipolar Disorder: What is Bipolar Disorder?

By Lynette Rivas

Bipolar disorder is a psychiatric health disorder that causes changes to an individual’s mood, energy, and their ability to function. Bipolar disorder is accompanied by mood episodes that can last distinct periods of times, such as days or weeks. This disorder is common among families where 80% to 90% of individuals with bipolar disorder have a relative with the same diagnosis.

Mood episodes are categorized as manic, hypomanic, or depressive. A manic or hypomanic episode is when the individual is abnormally happy or in an irritable mood for an extended period of time, that is at least one week. These episodes can also include a decreased need for sleep, faster speech, uncontrollable racing thoughts, distractibility, and/or increased risky behavior. To be considered an episode, these behaviors must represent a change from the individual’s usual behavior and the symptoms must be severe enough to cause dysfunction at work or in social activities.

A hypomanic episode is less severe than a manic episode. The symptoms need to only last for at least four days and they do not cause dysfunction in daily life. A depressive episode must be at least two weeks long and include an intense feeling of sadness, loss of interest in activities, feelings of worthlessness, increased or decreased sleep, restlessness, and/or difficulty concentrating. These symptoms must also be a change from the individual’s usual behavior.

There are three types of bipolar disorders which include: bipolar I, bipolar II, and cyclothymic disorder. 

Bipolar I

Bipolar I disorder is when the individual has had at least one manic episode that may be followed by a hypomanic or a major depressive episode.

Bipolar II

Bipolar II disorder is when the individual has had at least one major depressive episode and one hypomanic episode, but has never experienced a manic episode.

Cyclothymic Disorder

Cyclothymic disorder is when the individual has had at least two years, in adolescence, where there have been many periods of hypomania and depressive symptoms.

Bipolar disorder is a serious mental health condition that is treatable with medications and psychotherapy, so it is important to seek treatment from a mental health professional if you experience any of these symptoms.

If you or someone you know is experiencing manic, hypomanic, and/or depressive episodes 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://www.counselingpsychotherapynjny.com

Sources:

https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/symptoms-causes/syc-20355955

https://psychiatry.org/patients-families/bipolar-disorders/what-are-bipolar-disorders

https://www.istockphoto.com/illustrations/bipolar-disorder

Parasomnia: Nightmares in Adults

Parasomnia: Nightmares in Adults

By Lynette Rivas

Nightmares are supposed to diminish as you grow up, right? While this is true for most of the population, it is not the case for some individuals. Research shows that between 2% and 8% of the adult population experiences frequent and distressing nightmares, otherwise known as parasomnia.

Nightmares are realistic and vividly disturbing dreams that awaken you from sleep. They most often occur during rapid eye movement (REM) sleep, which is when most dreaming takes place, and occur closer to morning hours. Nightmares may include:

  • Vivid and upsetting dreams
  • Dreams involving threats to safety
  • Being awoken from the dream
  • Feeling anxious, scared, or sad as a result from the dream
  • Not being able to fall back to sleep due to the dream

For adults, nightmares are often spontaneous, but for some, there may be an underlying issue that can be used to explain these dreams. Nightmares can be triggered by stress, trauma, sleep deprivation, substance abuse, medications, or by simply watching a scary movie. Although nightmares occur occasionally compared to normal dreams, they are considered a disorder if they:

  • Occur frequently
  • Cause major distress throughout the day, such as anxiety or fear
  • Cause problems with concentration or memory
  • Cause daytime sleepiness

If these symptoms are occurring, then it is time to consult a doctor about possible treatments. The doctor will determine if the solution is through treatments and medication, or will give a referral to a psychologist or psychotherapist. Debilitating and frequent nightmares, or parasomnia, is a serious condition that can alter an individual’s life, so it is important to seek help if they occur.

If you or someone you know is experiencing debilitating/frequent nightmares 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://www.counselingpsychotherapynjny.com/

Sources:

https://www.mayoclinic.org/diseases-conditions/nightmare-disorder/symptoms-causes/syc-20353515

https://www.webmd.com/sleep-disorders/nightmares-in-adults#:~:text=Nightmares%20in%20adults%20can%20be,to%20have%20the%20condition%20themselves.

https://iconscout.com/illustration/nocturnal-panic-attack-5222908

Suicide: What is Suicide Grief?

Suicide: What is Suicide Grief

By Lynette Rivas

At some point in almost everyone’s life, they will experience losing a loved one, which can then be followed by grief. But what about losing your loved one to suicide? This type of grief is known as suicide grief, where an individual feels both despair and guilt after losing a loved one to suicide.

It is important to note that not everyone experiences grief in the same way or for the same amount of time. The intensity and the complexity of grief are determined by the relationship with the person that died, how the death occurred, any existing coping strategies, and if support is available. 

Suicide grief can be a period of intense emotions for some people. These include emotions such as shock, guilt, anger, confusion, and/or despair. These emotions can even be accompanied by nightmares, flashbacks, social withdrawal, difficulty concentrating, and/or loss of interest. Anyone that is experiencing grief should keep in mind that it is important to:

  • Keep in touch – reaching out to loved ones, friends, and spiritual leaders
  • Grieve in your own manner – everyone does not grieve in the same way
  • Do not rush yourself – grieving can be as short as a few days to as long as a couple of months

If the grief is too much to bear and becomes too intense, then it is time to turn to a mental health provider for help. Unresolved grief can become difficult over time to the point where the individual is no longer able to go back to their normal life. If the individual thinks that they might be unusually depressed, it is important that they seek professional mental health help.

If you or someone you know is struggling with grief 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://www.counselingpsychotherapynjny.com/

Sources:

https://www.mayoclinic.org/healthy-lifestyle/end-of-life/in-depth/suicide/art-20044900

https://www.beyondblue.org.au/the-facts/suicide-prevention/after-a-suicide-loss/suicide-and-grief#:~:text=Grief%20in%20response%20to%20suicide,the%20stigma%20associated%20with%20suicide.

Image Source:

https://time.com/6117708/grief-isolation/

The Evolution of Electroconvulsive Therapy

The Evolution of Electroconvulsive Therapy

By Lynette Rivas

Electroconvulsive Therapy (ECT) has been and remains as one of the most controversial, yet effective, forms of therapy. But how did this idea come along and how does it work? How has the procedure changed throughout the years?

The idea of inducing a seizure to aide a patient was first thought of in the late 1920s by a scientist named Meduna. The main purpose of ECT at the time was to treat patients with schizophrenia. After successfully treating over 100 patients through a chemically induced seizure, two other scientists with the names of Ugo Cerletti and Lucio Bini decided to conduct the first electrically induced seizure.

Almost a century later, ECT is still widely used throughout the world. ECT is mostly used when other treatments are found to be unsuccessful, such as therapy and medication.  It can treat severe depression, treatment-resistant depression, severe mania, catatonia, and agitation and aggression in people with dementia. Over the years, the ECT procedure has greatly changed in order to ensure the patient’s safety and to reduce side effects.

The general procedure of ECT includes:

  • General anesthesia – makes you unconscious and unaware of the procedure
  • A brief physical exam
  • An intravenous line (IV) inserted
  • Electrode pads placed on the head
  • Muscle relaxant – helps minimize the seizure and prevent injury
  • Monitoring the patient’s brain, heart, blood pressure, and oxygen
  • Mouth guard – helps to protect the teeth and tongue from injury

With all of these features in place, the patient can relax and be completely unaware of the procedure. After ECT, the patient is put into a recovery room where they will be monitored for any potential issues. It usually takes a total of 6-12 treatments for the patient to see results. Even after symptoms improve, the patient will have to continually visit their therapist in order to keep up with the progress that they have made.

If you or someone you know is struggling with depression and/or mania 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://www.counselingpsychotherapynjny.com/

Sources:

https://www.mayoclinic.org/tests-procedures/electroconvulsive-therapy/about/pac-20393894

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323557/

https://www.shutterstock.com/search/electroconvulsive-therapy

Anxiety: Student Anxiety in the Era of Mass Shootings

Anxiety: Student Anxiety in the Era of Mass Shootings

By Lynette Rivas

Within this current year, there have been a total of 27 school shootings where several individuals were either injured or killed. This rising number of school shootings is leaving a drastic impact on the mental health of students throughout the country. Research has shown that this stressor has contributed to an increase in depression and anxiety in students of all ages, whether or not the student was directly involved in the mass shooting. Students who were not involved in the school shooting can still be impacted by media coverage or by close proximity to the event.

According to a study from the American Journal of Preventative Medicine, at least 30% of students feel unsafe at school. This fear can cause anxiety in students, especially young children who are more prone to experiencing PTSD from these events. Student anxiety and depression are problematic and can affect a child’s learning. Research has shown that when a child is worried about different stressors, such as a possible school shooting, they end up using more of their mental resources towards emotions instead of learning, memory, and attention.

Signs of anxiety in students include:

  • Appearing shy, nervous, or cautious
  • Seeking constant approval
  • Expressing fears by throwing tantrums or crying
  • Sweating, headaches, stomach aches, and/or difficulty breathing

Any student who is experiencing these symptoms of anxiety should turn to a psychologist for help in order to overcome the fear of a possible school shooting. Periods of prolonged anxiety can hinder a student from excelling academically, socially, and/or emotionally.

If you or someone you know is seeking therapy for 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 https://www.counselingpsychotherapynjny.com/

Sources:

https://time.com/6182235/mass-shootings-children-mental-health-anxiety-depression/

https://www.apa.org/monitor/2022/09/news-mass-shootings-collective-traumas

https://rogersbh.org/about-us/newsroom/blog/how-identify-and-manage-anxiety-students

Anxiety in Athletes

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

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

Image Source: