Bipolar Disorder: Signs of Mania and Depression

By: Julia Keys

      Bipolar Disorder is a psychological diagnosis that is characterized by the cycling of states of mania and depression. Mania can be described as an extreme elevation in mood while depression is an extremely low mood.

     There are two main diagnoses for people with bipolar disorder: Bipolar I and Bipolar II. People with Bipolar I experience the extremes of both mania and depression. Bipolar II involves milder and shorter manic episodes than Bipolar I, but still includes severe depressive episodes.

     There are two other lesser known types of bipolar disorder; cyclothymic disorder and bipolar disorder with mixed features. Cyclothymic disorder is a milder version of bipolar disorder where mood swings are still present, but are less severe. Bipolar disorder with mixed features is when a person experiences features of manic and depressive episodes at the same time.

Common features of a manic episode includes:

  • Increased self-esteem
  • Little concern for the consequences of actions
  • Racing thoughts
  • Fast speech
  • Impulsivity
  • Sleeping very little
  • Sometimes delusions and hallucinations

Common features of a depressive episode includes:

  • Feelings of worthlessness
  • Eating too much or eating too little
  • Trouble sleeping or sleeping too much
  • Loss of pleasure in activities that were previously pleasurable
  • Suicidal thoughts

If you or someone you know is struggling with bipolar disorder, please contact Arista Counseling & Psychotherapy, located in New York and New Jersey to speak to a licensed professional psychologists, psychiatrists, psychiatric nurse practitioners or psychotherapists. To contact the office in Paramus NJ, call (201) 368-3700. To contact the office in Manhattan, call (212) 722-1920. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Source:

https://psychcentral.com/lib/phases-of-bipolar-disorder/

Image Source:

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Sleep Difficulties? Here are 5 questions that will Help You Figure Out Why.

By Sally Santos

We all have gone through this. We have had a long day and we can’t wait to get in to bed to rest. But the moment you rest your head on the pillow you find yourself wide awake and staring at the ceiling. So then you ask yourself “why can’t I fall asleep?” Consider these 5 questions:

Do you take your phone to bed?

  • We spend all day with our phones tending to every notification that we receive. That can become a habit. So when you bring your phone to bed and you see your phones light up you are going to want to see what it is. So every night before you go to bed try to keep your phone away from your bed or at least set it on Do Not Disturb Mode. This ensures that your phone won’t ring for every notification

How much caffeine are you drinking?

  • If you are someone who consumes a lot of caffeine during the day and find yourself not being able to sleep at night consider consuming less caffeine or stop completely.

What do you do during the evening?

  • Avoid having a late meal. If you eat right before you go to bed that might keep you awake because your body is working on digesting your food.
  • If you are someone who works out try working out earlier because after you work out you may have increased energy and that may prevent you from sleeping at night.
  • If possible try avoiding difficult conversations before bed.

How are you using your bed?

  • If you are someone who works or studies in bed, you may be confusing your body. Instead of your body associating your bed as a place for rest it is associating it as a place of work.

Is there something specific that you are worried about?

  • Maybe you are going through a stressful situation and the thought of it is keeping you up at night. Try learning a relaxation method such as breathing gently or meditation.
  • If the situation is serious seek professional help you problem-solve the situation. You might be helped by relaxation techniques, hypnosis or sleep medication.

Source:

https://www.psychologytoday.com/us/blog/prescriptions-life/201901/how-calm-your-racing-mind-so-you-can-sleep

Image:

https://www.tumblr.com/tagged/no-sleep

If you or someone you know is having sleep issues, 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/.

Schizophrenia

By: Dianna Gomez

Schizophrenia is generally known to be a severe mental disorder that affects a person’s thoughts, behaviors, and feelings. Schizophrenic individuals most often have had a break with reality. When the average person hears the term ‘schizophrenia’ they immediately associate the illness with things such as hallucinations, hearing of voices, etc. Although these are accurate possibilities, there are several additional types of schizophrenia that many people aren’t aware of that people suffer from all around the globe. There are a total 5 subtypes of schizophrenia including: paranoid, disorganized, residual, catatonic and undifferentiated.

Paranoid: delusions (beliefs that may seem real to the person suffering but are not actually happening) such as believing the government is spying on them. Another symptom seen in this subtype is auditory hallucinations (hearing voices that are not real). Most often, these voices are not kind. They encourage the person to hurt others, hurt themselves, etc. These people may also see things that aren’t truly there (ex: seeing the devil).

Disorganized: in addition to having hallucinations and delusions, people with this type of schizophrenia have problems with disorganized speech (ex: speaking but not making any sense/word salad), disorganized thoughts (ex: quickly jumping from one topic to the next).

Residual: people with this type of schizophrenia mainly struggle with a lack of initiative, poor self-care/hygiene, poor social performance, underactivity, passivity, poor non-verbal communication (facial expressions, eye contact, etc). These people do not experience nearly as many hallucinations and delusions.

Catatonic: disturbances in a person’s movements and/or immobility. Catatonic individuals can maintain very unusual body positions/poses for extended periods of time. If someone were to try to move them, their limbs would be extremely resistant against efforts to be altered.

Undifferentiated: people with this type suffer from 2 or more types of symptoms listed above. They may have hallucinations, delusions, disorganized speech or behavior, catatonic behavior, etc.

If you or someone you know may be suffering from schizophrenia, 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 t0 set up an appointment. For more information, visit us at http://www.counselingpsychotherapynjny.com.

TRAUMATIC EXPERIENCES

By: Dianna Gomez

A “traumatizing” experience is one that is dangerous, scary or unexpected and can leave a person affected emotionally. There are many different kinds of experiences that can be considered traumatizing. Traumatic events can be caused by other people such as terror attacks, community violence (mugging, shooting, assault, bullying), or a very serious car accident. Traumatic experiences can also be natural. Examples of natural traumatic events include hurricanes, tornados, earthquakes, and fires. Regardless of what category of trauma an event falls under, each has the potential to leave a certain amount of impact on a person’s brain.

For most people, with time comes less feelings of trauma following an event. However, it is not unheard of for a traumatic experience to leave a person affected for the rest of their lives. In addition, everyone reacts and copes with trauma differently. A majority of people have similar symptoms following a traumatic event that include trouble sleeping or concentrating, constantly thinking about what occurred, and feeling anxious, sad or angry. These can last for several weeks or even months following a traumatic event. There are a few actions that a person can take that are known to be the healthiest ways to cope after experiencing something traumatic. These healthy coping mechanisms include, but are not limited to, the following:

  • Avoiding drugs and alcohol at all costs
  • Spending time around loved ones or supportive people in your life that you trust
  • Maintaining normal daily routines (eating, exercising, sleeping)
  • Staying active! The more you have to keep your mind preoccupied, the less time you have to be consumed by negative thoughts about the event

If you or someone you know has experienced a traumatic event, 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 us at http://www.counselingpsychotherapynjny.com

 

Tourette Syndrome

By: Dianna Gomez

Tourette Syndrome is a type of tic disorder. A tic can be classified as an involuntary, repetitive movement or vocalization. Those diagnosed with this disorder will either suffer from vocal/phonic tics or motor tics. In general, vocal/phonic tics produce a sound. Examples of vocal/phonic tics include things such as sniffing, throat clearing, grunting, and shouting. Examples of more complex vocal/phonic tics include full words or phrases. These words or phrases are always out of context and may or may not be recognizable. In 10-15% of cases, words blurted out may be inappropriate such as curse words, ethnic slurs, or other words or phrases that are not viewed as socially acceptable.

Motor tics, generally, are movements. Examples of motor tics include eye blinking, shoulder shrugging, head jerking/bobbing, facial grimacing, etc. More complex motor tics include movements that involve multiple muscle groups at once. Examples of these movements are things such as hopping, jumping, twirling, etc.

While the exact cause of Tourette Syndrome is unknown, it has been confirmed that it is hereditary so genetics may play a role. There are, however, some treatment options that are available to help ease the symptoms. Medications for tics include Haloperidol, Pimozide, and Aripiprazole. Speech therapy is also another form of treatment for those with tics. Lastly, Deep Brain Stimulation (DBS) is another method of treatment for tics. DBS is a relatively new procedure that utilizes an implantable electrode to alter the activity of brain circuitry.

If you or someone you know is suffering from Tourette Syndrome, 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/.

Psychopath vs. Sociopath

 By: Dianna Gomez

“You’re a psychopath!!”

How often do we ourselves use this term or hear others throw this term around? Some people may use this phrase when referring to a crazy ex-boyfriend, strict parent, or annoying sibling, when in reality; most people don’t truly understand its meaning. You may be asking yourself, so what is a psychopath? How can I know whether I am really encountering one or not? There are certain characteristics that have been found to be shared between people who are actually psychopathic or have psychopathic qualities. These characteristics include but are not limited to:

  • Pathological lying
  • Manipulation
  • Total lack of remorse and/or empathy for others
  • Superficially charming
  • Lack of feelings of guilt
  • Grandiose sense-of-self
  • Failure to accept responsibility
  • Impulsivity
  • Need for stimulation
  • Poor behavioral controls
  • Parasitic lifestyle/willingness to feed off others to sustain their own lifestyle

Now you may be asking yourself, what is the difference between a psychopath and a sociopath? A sociopath is a person diagnosed with “Anti-Social Personality Disorder.” People with this diagnosis are generally very manipulative and violating of the rights of others, among other things. Sociopathy can be thought of as a less severe form of psychopathy. If a person is a psychopath then they are also a sociopath, but if a person is a sociopath they don’t necessarily need to be a psychopath. Sociopaths and psychopaths share the same basic characteristics, just at different levels of intensity.

If this personality description sounds like you or someone you know, 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/.

Bipolar Disorder

By: Dianna Gomez

Bipolar Disorder, also known as “Manic-Depressive,” is a disorder of the brain that causes a person to experience sudden shifts in mood, energy/activity levels, and disrupts their ability to function fully each day. The changes in mood range from a person feeling extremely “up” and energized which are known as manic episodes to feeling extremely “down” and sad which is known as depressive episodes. There are multiple forms of Bipolar Disorder, however, the two main types of the disorder are Bipolar I and Bipolar II. Regardless of the type a person has, he or she still suffers from very similar symptoms. Bipolar I Disorder is defined by manic episodes/symptoms that are either so severe the individual needs to be hospitalized immediately or the episode itself has lasted for at least 7 days. Depressive episodes occur in people with this type of Bipolar as well and these episodes can last up to at least 2 weeks at a time. Bipolar II Disorder is defined by a certain pattern of depressive episodes followed by some hypo-manic episodes. The only difference between manic and hypo-manic is that hypo-manic episodes are not as intense as full on manic ones. More specifically, when a person is having a manic episode they can experience the following symptoms:

  • Feeling “jumpy” or “weird”
  • Having trouble sleeping
  • Talk really fast about a lot of different things
  • Racing thoughts
  • Participating in risky behaviors (ex: spending all your money)

On the other hand, when a person is going through a depressive episode, he or she can experience the following symptoms:

  • Sleeping too much or not enough
  • Not being able to enjoy things
  • Trouble concentrating
  • Eating too much or not enough
  • Thinking about death and/or suicide

Luckily, there are several forms of treatment that a person suffering from Bipolar Disorder can seek out to help them live a more normal and stable lifestyle. Methods of treatment include: medications (mood stabilizers, sleep medications, antidepressants, and atypical anti-psychotics), psychotherapy (cognitive behavioral therapy, family-focused therapy, and interpersonal therapy), or a combination of both. Even while taking medications some mood swings may still occur. This makes it especially important that there is a close and honest patient-doctor relationship in order to manage the disorder in the most efficient way possible. In addition to these, there is also electroconvulsive therapy or “ECT,” and keeping a lifestyle chart. When keeping the lifestyle chart, the patient records their daily symptoms, sleep patterns, and other important life events.

 

If you or anyone you know may suffer from either Bipolar I Disorder or Bipolar II Disorder, 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 us at http://www.counselingpsychotherapynjny.com/.

Depression

By: Dianna Gomez

Similar to most mental health illnesses, depression does not discriminate. Depression doesn’t take into consideration what age, race, gender, sexual orientation, socioeconomic status or religion a person is. In fact, not only does depression affect both men AND women, it may be experienced differently by each group as well. In general, depression is more commonly found in women then it is found in men. When it comes to women specifically, the higher rates of depression have been linked to biological, hormonal, life cycle, and psychosocial factors. It has been shown that hormones directly affect emotions and mood through brain chemistry. A time when women are especially at risk is after giving birth when physical and hormonal changes, as well as new responsibilities for their new born baby can be overwhelming. Postpartum Depression can also occur in new mothers and must be attended to immediately. When speaking about their depression, women are more likely to describe their experiences as feelings of sadness, worthlessness, and/or guilt.

When men are depressed, they are more likely to describe their experiences as having feelings of fatigue, loss of interest in things once enjoyed, irritability, sleep issues, etc. In attempt to relieve themselves of their depression, men are more likely to bury themselves in their work and find ways to keep themselves preoccupied so they aren’t forced to confront their feelings head on. They may also participate in risky or reckless behaviors. Alcohol and substance use is another coping mechanism that men usually turn to. This is usually followed by episodes of anger and aggression.

Depression is one of the most common mental disorders in the United States. Despite this, there is still no known cause for this debilitating illness. That is why it is absolutely crucial that professional help is sought out.

If either you or someone you know may be suffering from depression, 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/.

Coping With Stress

By: Dianna Gomez

 

Whether you are a prestigious lawyer or currently unemployed, one thing that all people have in common is that, at one point or another, we have all felt what it’s like to be stressed. The stress may be caused by totally different situations, but at the end of the day those feelings have been felt by us all. You may be asking yourself, “So what simple steps can I take to help myself next time I do feel overwhelmed with stress?” Whether you are a busy college student with 4 exams to study for, an overworked single mom with 2 jobs trying to put food on the table, or a very successful business person with tons of responsibilities, stress can be an issue in anyone’s life.

Here are 5 things you can do to decrease the amount of stress in your life:

#1. Determine Where the Stress is Coming From

  • Is your stress work-related? Is it constantly being caused by the same people in your life? Finding the root of the problem gives you better direction when aiming to correct it.

#2. Eat Healthy

  • For some people, a typical reaction to stress is to “eat your feelings” and turn to comfort foods that are more often than not foods that are processed and high in fat, sugar, or carbs. Although doing this may help you feel better for the short term, it definitely doesn’t help you in the long term which is more important. In fact, it can create problems in the long term that not only don’t help your stress, but add to it as well.

#3. Exercise

  • Go for a walk in the park, take a kick-boxing class, do a few laps in the pool. Get those endorphins flowing!

#4. Make Time for Yourself

  • We all have busy lives – places to be, people to see but nothing is more important than how you feel mentally. Whether it is 10 short minutes or an hour each day, take the time you have to do something you love and to be away from the chaos.

#5. You Can’t Fix What You Can’t Control

  • While you can’t control how your boss acts, what your mother-in-law says, or the current state of the economy, you can control things that you do. If you can’t control it, don’t let it control you!

 

If either you or anybody you know may be suffering from excessive amount of stress, 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/.

 

Prescription Drugs and Side Effects

Prescription Drugs and their Side Effects

Emily Ramos

The truth of the matter is that many prescription drugs contain side effects. It is hard to predict whether or not an individual will experience side effects, it depends on how their body reacts to the drug. The good thing is that there are steps an individual can take to reduce the risks. If the side effects persist you can speak with your doctor who can prescribe a lower dosage or a different medication. DO NOT stop taking medication if you experience a side effect, always speak with your doctor. They might have to wean you off of the drug instead of stopping all together. Here’s how you can learn about possible side effects and how to avoid them:

  • Before getting prescribed medicine, ask your doctor about possible side effects that may occur. For example, if nausea is a side effect your doctor may recommend that you eat or drink before taking the medication.
  • Once you start taking medication take note of any symptoms that arise and tell your doctor about them. This will give your doctor a better understanding.
  • Other ways to prevent side effects are to make appropriate lifestyle changes. For example: if a medication causes you to gain weight you will have to pay more attention to your nutrition and incorporate exercise plans.

It may take a few trial and errors before your doctor is able to find a medication that works best for you. That is why it is crucial to be honest with your doctor before and after he or she prescribes medication.

If you or a person you know is struggling with medication, it may be beneficial to contact a mental health professional and receive therapy. The psychologists, psychiatrists, and therapists at Arista Counseling and Psychiatric Services can help. Contact the Bergen County, NJ or Manhattan offices at (201) 368-3700 or (212) 722-1920. Visit http://www.acenterfortherapy.com for more information.