Bergen County Counseling

Munchausen’s Syndrome

GalleryJudy Gurfein Leave a comment

By Charlotte Arehart

Munchausen’s syndrome is a factitious disorder where the individual continuously pretends to have various ailments and illnesses to seek medical attention for them. There are several other versions of Munchausen’s syndrome, including Munchausen through proxy as well as Munchausen through the internet. Munchausen’s syndrome is a mental illness that often comes along with other mental difficulties such as depression and anxiety.

Since Munchausen’s syndrome is a factitious disorder, it can be difficult to diagnose sometimes. After all, the patient is likely to be lying about their symptoms and illnesses. There are a few things that may hint that a patient has Munchausen’s syndrome, such as inconsistent medical history, constantly changing or unclear symptoms, predictable relapses, extensive medical knowledge, new symptoms after a negative test or undesired test results, symptoms are only present when the patient is being watched or is near people, and seeking treatment in many different places.

Many times in the news we hear about cases of Munchausen’s syndrome by proxy, which is when a caregiver or parent pretends that their child is afflicted by ailments. There are many famous cases of Munchausen’s syndrome by proxy, such as the case of Gypsy Rose Blanchard. In cases of Munchausen’s syndrome by internet, the individual attends online support groups pretending to be afflicted with the struggle that those who are attending the meetings are actually experiencing. This could be either to mock those who are attending, or simply for attention.

It is important that medical staff keeps an eye out for those who may be experiencing Munchausen’s Syndrome, since it can be difficult to spot. Those who are suffering from Munchausen’s Syndrome or Munchausen’s Syndrome by proxy should seek mental health treatment as soon as possible.

If you or someone you know is struggling with Munchausen’s syndrome, 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.webmd.com/mental-health/munchausen-syndrome

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3554979/

https://10faq.com/health/munchausen-syndrome-symptoms/?utm_source=7017173049&utm_campaign=6449781305&utm_medium=78641056298&utm_content=78641056298&utm_term=munchausen%20syndrome&gclid=CjwKCAjwieuGBhAsEiwA1Ly_nQk9C1zizAwKaVlu7DhBKde8bnBOPK7v4QhwG7rYBc-ZZj3av-254BoCzqAQAvD_BwE

Image Source: https://healthproadvice.com/mental-health/An-Understanding-of-Munchausen-Syndrome

Anxiety and Depression: Rumination

GalleryJudy Gurfein Leave a comment

    By: Lauren Zoneraich

    Rumination is the cognitive process of repeating negative thoughts without completion, much to one’s distress. In the mind, the thoughts play like a broken record. Rumination can involve negative thoughts about the past or present, and the self. This form of cognition plays a key role in many psychological conditions, such as depression, generalized anxiety disorder, social anxiety, alcohol abuse, OCD, PTSD, and eating disorders. Rumination is a passive process. One feels as if one cannot control repetitive, dominating thoughts. These distracting thought circles can last for long periods of time and disrupt work, school, and social life. Rumination is different than worry in that rumination involves negative thought content rather than thought content related to uncertainty. Worry usually is tied to the future, while ruminative thoughts are usually tied to the past or present. Rumination can impact physical health by increasing stress levels.In the context of depression, rumination usually involves negative self-assessments, such as feelings of inadequacy or worthlessness. These feelings can lead to anxious responses and further worsen one’s emotional state.

    There are some intervention strategies to disrupt rumination. One way is to distract oneself with other activities, such as socializing or exercising. Cognitive Behavioral Therapy, or CBT, is a therapy approach that aims to change negative thought patterns. Patients learn to recognize their distortions, irrational thoughts, and negative thoughts. Once they recognize these thoughts, patients reframe negative thoughts and assess the irrationality of their thoughts. Patients also learn methods to calm their mind and body through breathing exercises and thinking of things they associate with feeling calm and peaceful. Patients are also encouraged to think of action plans to address their negative thoughts.

    If you or someone you know is struggling with anxiety or depression, or is seeking Cognitive Behavioral Therapy for rumination, 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:

    Sansone, R. A., & Sansone, L. A. (2012). Rumination: relationships with physical health. Innovations in clinical neuroscience, 9(2), 29–34. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312901/

    https://www.psychologytoday.com/us/blog/depression-management-techniques/201604/rumination-problem-in-anxiety-and-depression

    https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral

    Image Source:

    https://blogs.kcl.ac.uk/editlab/2018/10/12/r-is-for-rumination/

    OCD: Life During a Pandemic

    GalleryJudy Gurfein Leave a comment

    By Charlotte Arehart

    It seems logical to assume that those struggling with OCD are having a harder time during the COVID-19 pandemic. However, this is not necessarily true. While some people who suffer from OCD are having more troubles, not every person who has OCD is seeing a difference in their symptoms. For example, someone who’s OCD focuses on other infectious agents that are not COVID-19 will probably not see a lot of change in their symptoms. A study done in November of 2020 found that OCD symptoms increased in frequency significantly more in “washers,” or people who are afraid of contamination, than in non-washers with OCD.

    Many individuals with OCD are expressing how the pandemic has made other people realize what it is like to obsess over contamination. For some people with OCD, this has been the way they have felt for their entire lives. For many of us, obsessively cleaning and sanitizing things has only become part of our habits because of the pandemic.

    One benefit that doctors have been seeing during the pandemic, specifically for OCD treatment, is the fact that online therapy sessions allow the patient to have their session in any setting. Many people who are being treated for OCD use exposure therapy with their therapists to help reduce their symptoms. This involves patients exposing themselves to stimuli that may induce their symptoms in an attempt to reduce their anxiety about these symptoms. With sessions being held on telehealth, patients can move about their environment and even do their therapy in unusual locations that allow them to expose themselves, with professional direction, to their stressors. This would not always be possible in an office setting.

    The bottom line is that one cannot assume that an individual with OCD is experiencing worse symptoms due to the pandemic. While this is true some people who are suffering from OCD, not every individual’s stressors include the virus. It is important that someone who is experiencing OCD seeks treatment as soon as possible, before symptoms worsen. OCD can be debilitating if it is extreme. Therapy is an excellent form of treatment for OCD.

    If you or someone you know is struggling with OCD, 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.columbiapsychiatry.org/news/covid-q-obsessive-compulsive-disorder-ocd

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644184/

    Image Source: https://www.npr.org/sections/health-shots/2020/06/13/872466613/obsession-or-just-good-hygiene-keeping-the-coronavirus-and-ocd-at-bay

    Kratom Craze

    GalleryJudy Gurfein Leave a comment
    • Kratom Capsules/Concentrate

    By Charlotte Arehart

    If something is legal, that must mean that it’s safe, right? While this would be great to believe, unfortunately it is not true.  An example of something that is not illegal yet but is still unsafe is the drug kratom. Although banned in 6 states, kratom is still legal in the United States. It can easily be purchased at drug stores and even online. Kratom, a psychoactive plant, comes from the leaves of kratom trees that grow in Southeast Asia, where it has traditionally been used for teas and medicines. Only recently has kratom been used frequently in Western societies. Many people praise kratom for alleviating their pain from headaches or even bad knees. However, kratom comes with some not-so-great side effects, and some that are quite aversive.

    Low doses of kratom seem very beneficial. Users may experience increased energy, lower pain levels, and feelings of relaxation. However, continued consistent use of kratom or large doses of kratom pose some serious side effects. And since kratom is so addictive, it is easy for users to work their way up to this point. Users may begin to hallucinate, become depressed, have seizures, enter comas, or even die when mixing kratom with other substances. There have been many deaths recorded because of kratom usage with other substances like alcohol. One user on WebMD begs others to be wary of kratom, stating that their family member died from a third seizure caused by the drug. Another user warned of the addictive effects of the drug, saying that kratom advocates downplay the withdrawal symptoms to be similar to caffeine withdrawal when in reality it is more like “full on opioid withdrawal” symptoms. Since kratom has a very similar chemical reaction in the body as opioid drugs, it makes sense that the withdrawal symptoms would be very similar. Other users have stated that while the drug may be efficient in alleviating pain, the dependency that comes with the drug is not worth it.

    Even though kratom is not illegal, there is no such thing as a “good” addiction. If you or someone you know is facing a kratom addiction, there are ways to get help. It is important that anyone who is facing a kratom addiction seeks therapy as soon as possible, before it is too late.

    If you or someone you know needs substance abuse support, 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.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/kratom/art-20402171

    https://www.webmd.com/vitamins-supplements/ingredientreview-1513-kratom?drugid=1513&drugname=KRATOM

    https://www.healthline.com/health/kratom-and-alcohol#effects

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4657101/

    Image Source: https://www.healthline.com/health/kratom-and-alcohol

    Mental Health during Pride Month

    GalleryJudy Gurfein Leave a comment
    • Mental Health During Pride Month

    By Charlotte Arehart

    With June finally starting, this means that it is officially Pride Month! Pride Month is celebrated in June in the USA and many other countries. During Pride Month, we celebrate and recognize the impact that  lesbian, gay, bisexual, transgender, queer LGBTQ+ individuals have on their communities. We celebrate their history, whether it be locally, nationally, or internationally. Unfortunately, there is a stigma surrounding the LGBTQ+ community regarding mental health. There are a plethora of statistics about LGBTQ+ individuals and mental health, including the fact that members of the community are less likely to seek treatment for mental health, substance abuse, and eating disorders. This is largely due to fear of being discriminated against because of their sexuality. Pride Month is the perfect opportunity to prioritize and learn more about mental health for LGBTQ+ individuals.

    There are many barriers that LGBTQ+ individuals face when it comes to finding mental health treatment. Many mental health centers lack culturally-competent or diverse staff and/or treatment. It was not very long ago that homosexuality and bisexuality were themselves considered mental illnesses. This was thought to be true until the 1960’s. Gay men and lesbian women were frequently forced to undergo “treatment” for their sexuality against their will, such as aversion, conversion, and even shock therapies. Also damaging to mental health, LGBTQ+ individuals are at a higher risk for bullying, and sometimes even hateful violent crimes. The best way to help the LGBTQ+ community regarding mental health efforts is to support the community not only through words but through actions. By reducing the stigma around mental health and making LGBTQ+ individuals feel as comfortable as possible, hopefully we can make mental health treatment more accessible for everyone. Luckily, the vast majority of mental health professionals today are accepting and positive towards the LGBTQ+ community. Everyone deserves to have efficient, effective, and professional mental health no matter how they identify as individuals.

    If you or someone you know needs mental health support, 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:

    LGBTQ+ Mental Health Statistics
    Gay Pride: LGTBQ+Mental Health Awareness

    Image Source: https://lgbt-speakers.com/news/top-10-lists/10-lgbt-speakers-for-pride-month-2021

    Social Media: Self-Diagnosing

    GalleryJudy Gurfein Leave a comment

      By Charlotte Arehart

      For many people, it has become a habit to turn to the internet with any questions that one might have. While it is great to have the answers to the world at our fingertips, we have to keep in mind that just because we find an answer on the internet does not mean it is the correct one. Googling the answers to everything can be particularly harmful when it comes to physical and mental health. Searching a simple symptom such as a stomach ache may lead to answers that suggest the individual has appendicitis, when in reality they may only be having indigestion. With the internet becoming more powerful than ever, more people have been self-diagnosing with physical and mental health issues without seeking help from a professional.

      Social media has played a huge role in the increase of self-diagnosing. Many influential social media users with a large platform use their platform to speak and educate viewers about mental illnesses. While this is great in terms of normalizing and reducing the stigma around mental health issues, it becomes harmful when viewers use this information to self-diagnose. I personally have seen many videos on platforms such as Instagram and Tiktok where the creator lists several widely general and common “symptoms,” such as sleeping in too much or having a short attention span, then follow up with something along the lines of “if you are experiencing these symptoms, you may have ADHD!” In the comments section, I see floods of viewers who are now concerned that they may have a mental disorder simply because they experience a few of the general symptoms listed. It seems that these videos create a lot of stress in people who do not actually need to be worried, since the symptoms listed are often so generalized. However, I do think that it is very beneficial for those who are struggling with mental health issues to receive support and a sense of community through social media. It can be very comforting to know that you are not alone going through something. If creators wish to speak about mental health issues on social media, it should be done in a very careful way. Addressing mental health on social media does present a wide variety of benefits, however it becomes an issue when people are self-diagnosing and becoming worried without speaking to a professional.

      If you or someone you know needs mental health support, 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://etactics.com/blog/problems-with-self-diagnosis

      https://www.viewpointcenter.com/blog/the-harm-of-self-diagnosis-on-social-media/

      Image Source: https://dailytitan.com/opinion/column-self-diagnosing-mental-health-disorders-is-hazardous/article_d953ca7f-0eae-57d2-81fb-d0d339734788.html

      The Importance of Mental Health

      GalleryJudy Gurfein Leave a comment

        By Charlotte Arehart

        When thinking about their health, most people only consider the physical state of their bodies. However, it is important that we take our mental health into consideration as well. Not only are these two aspects equally important, but they are actually very closely related. People who have poor mental health are at greater risk of having poor physical health. For example, people who experience depression are at a 50% increased risk of dying from cancer and a 67% increase for heart disease. Stress and anxiety also have a huge impact on the body, affecting the respiratory system, the cardiovascular system, as well as the gastrointestinal system.

        Since mental health is so important, why do people usually disregard it? Many people are afraid of the stigma that surrounds mental health. Since you cannot always “see” mental health problems, some people view them as “not real.” Many people fear that others will look at them differently if they seek mental help. They do not want to be seen as emotionally weak. People are especially worried that seeking mental help with affect their careers, however this is not true. In fact, taking proactive steps to help mental health will reduce possible repercussions for the future. It is better to address the issue sooner rather than later, since unchecked mental health symptoms usually worsen over time. If you are experiencing mental health troubles, by no means are you alone. Many mental health issues are actually more prevalent than one would expect. By realizing that there are tons people who are experiencing something similar to them, people may feel better about reaching out for mental health.

        If you or someone you know needs mental health support, 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.mentalhealth.org.uk/a-to-z/p/physical-health-and-mental-health

        https://www.pdhealth.mil/news/blog/reducing-self-stigma-mental-health-important-physical-health

        Image Source: https://www.hrcsb.org/may-mental-health-awareness-month/

        Self-Motivation during Covid-19

        GalleryJudy Gurfein 1 Comment

        By: Devorah Weinberg

        Teamwork and a conducive work environment are essential for prosperity. Due to Covid-19, many people are working from home, which means more distractions and less motivation.   Recognition, achievement, and interactions with peers are factors that contribute to one’s work motivation. Now that we are working from home, these factors have been undermined.

        However, “The best motivation is self-motivation.” Self-motivation is our internal drive to achieve and succeed. It increases productivity.

        Here are a few tips to boost your self-motivation during these difficult times:

        1- Write goals

        2- Create a plan for each individual goal

        3- Reward yourself for accomplishments

        4- Keep a positive attitude

        Another issue that people working from home are encountering is the endless stack of work. When working in an office, you leave at a set time. Now, stopping to work at a specific time and taking a lunch break become difficult. Setting an alarm is a great solution for this and helps avoid clock watch.

         If you or someone you know needs mental health support throughout the pandemic, 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://dictionary.apa.org/work-motivation

        https://www.indeed.com/career-advice/career-development/self-motivation-in-the-workplace

        Image source: https://colormagazine.com/tips-for-self-motivation-and-moving-forward-in-your-career/

         

         

         

        Stress and Academic Performance

        GalleryJudy Gurfein Leave a comment

        How to help children and teens manage their stress

        Stress: Stress and Academic Performance

        By. Alexis Yennie

        Stress affects all of us in various ways; whether it be students studying for an exam or adults and being overloaded with work. Stress can also affect various activities that we do on a daily basis. There are many underlying factors of stress with vary from person to person. In today’s society, children are becoming more stressed than ever. This is due to the constant pressure being put on them to receive the highest grade or even get into a good school. The pressure that is being put on them to balance school life and family/friend’s life can become a huge challenge for many.

        There are multiple ways that stress can negatively affect a student’s performance. 1.) High levels of stress can decrease sleep quality; research has found that adolescents need at least eight hours of sleep a night to perform at their best. When they do not get the proper amount of sleep due to stress, this can cause them to have a lack of concentration and the inability to remember correctly. 2.) High levels of stress make students angrier; stress can also be the main reason for an increase in bullying due to irritability and the likelihood of angry outbursts. Directing their stress onto others can also increase bullying. And 3.) High levels of stress can worsen grades; when a student becomes stressed this can take over their ability to focus and can even lead to students dropping out of school.

        It is very vital for parents, as well as educators and those supporting them, to become aware/educated about the significant impact stress has on adolescents and young adults. AS a whole, we should be creating a supportive and calm environment so that children succeed at their academic best. Some solutions to overcoming stress amongst adolescents are to conduct wellness checks; such as weekly one-on-one therapy sessions or even group therapy with other students. Also, making health programs available to students to them as needed.

        If you or someone you know is struggling with high levels of stress and academic performance or family relationships pertaining to high levels of stress, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioner, or psychotherapist at Arista Counseling and 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://partners.pennfoster.edu/blog/2016/september/3-ways-stress-negatively-affects-student-performance#:~:text=When%20a%20student%20is%20stressed,of%20school%20or%20drop%20classes.&text=As%20research%20shows%2C%20stress%20exhibited,students%20while%20in%20the%20classroom.

        Image Source: https://www.apa.org/topics/child-development/stress

         

        Eating Disorders and Family Relationships

        GalleryJudy Gurfein Leave a comment

        The emotional impact of eating disorders on families

        Eating Disorders: Eating Disorders and Family Relationships

        By. Alexis Yennie

        Different eating disorders, whether it be anorexia nervosa or bulimia, all eat away at different relationships that we have in our lives, such as family, friends and loved ones. The main reason that we are alive on this planet is because of the relationships/human connections that we have with others. When eating disorders appear, they can diminish and break down these relationships causing negative thoughts and behaviors to surround everything around you. The more progression that eating disorders make on an individual, the more negative effects take place on not only them, but those around them as well.

        Eating disorders are known to create feelings of isolation, hopelessness and separation. It is very common for loved ones to feel as though they have lost someone, when they watch someone they care about battle with an eating disorder. Though at one point there might have been a very strong bond between people, eating disorders tend to destroy any chance of hope/love a person might have for others; as these hopelessness/loveless emotions rise, the people that once cared for the person battling the eating disorder, eventually break off, due to feelings of hopelessness, or even the feeling of being replaced by the vicious monster inside of them

        Family members of individuals that are suffering with eating disorders, know that your presence is wanted, even though it might not always seem like it and it does make a difference to them. Loving someone at this point in their life, might just be the encouragement that they need to fight for their life. Recovery is possible and never lose hope. Relationships can be fixed, and recovery is beautiful.

        If you or someone you know is struggling with an eating disorder or family relationships pertaining to their eating disorders, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioner, or psychotherapist at Arista Counseling and 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/

        Image Source: https://www.sovteens.com/health-and-wellness/emotional-impact-eating-disorders-families/

        Sources: https://www.eatingdisorderhope.com/treatment-for-eating-disorders/family-role/how-eating-disorders-can-affect-relationships