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/.

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4 Signs of Narcissism You May Not Have Known About

4 Signs of Narcissism You May Not Have Known About

Catherine Ferreira

We all have heard or read about narcissistic people by now. We know what they’re like: entitled, self-important, exploitative, charming, etc. But here are some features of narcissists you may not have known about, if only because narcissists mask their flaws so well:

  1. They have a surprisingly fragile self-esteem
  2. They are very sensitive to criticism
  3. They get very defensive when contradicted
  4. They tend to project unfavorable qualities of themselves onto others.

They are, furthermore, superficial and toxic people who are difficult to be around. If you or a loved one are being hurt by a narcissist, the psychiatrists, psychologists, psychiatric nurse practitioners or psychotherapists at Arista Counseling can assist you. Contact our Bergen County, NJ or Manhattan offices of psychologists, psychiatrists, and psychotherapists at (201) 368-3700 or (212) 722-1920 to set up an appointment.  Visit http://www.acenterfortherapy.com for more information.

Source: https://www.psychologytoday.com/blog/evolution-the-self/201311/6-signs-narcissism-you-may-not-know-about

ADHD — A Real Diagnosis?

ADHD — A Real Diagnosis?

Catherine Ferreira

Many would argue that ADHD is a fictional diagnosis made up in an effort to label unusual behavior and put money in health professionals’ pockets. Indeed, it’s an easy diagnosis to make – many people display so-called symptoms of ADD or ADHD anyway, without having any kind of disorder. But the difference between airheaded, distracted, and/or impulsive people, and people with ADD or ADHD, is that the latter causes dysfunction. It disrupts a person’s daily life and affects everyone nearby. That in and of itself justifies its presence in the DSM-5. Symptoms of ADHD include:

  • A lack of focus
  • Disorganization
  • Squirming and fidgeting
  • Impatience
  • An inability to complete tasks

If you or a loved one display symptoms of ADHD, the psychiatrists, psychologists, psychiatric nurse practitioners or psychotherapists at Arista Counseling can assist you. Contact our Bergen County, NJ or Manhattan offices of psychologists, psychiatrists, and psychotherapists at (201) 368-3700 or (212) 722-1920 to set up an appointment.  Visit http://www.acenterfortherapy.com for more information.

Holding Down a Job with Bipolar Disorder

stressed-man-at-work

If you suffer from bipolar disorder, keeping a job can be difficult, at times painful. Not just because of the manic or depressive episodes, but because of the stigma that comes with having the disorder itself. What to do if you have bipolar disorder and are worried about the future of your job? It’s helpful to focus on some goals.

    1. For starters, accept the fact that you have an illness. You are not responsible for having it, but you are responsible for taking care of it.
    2. Learn what makes you feel better. What distracts you from the pain of your depressive episodes? What makes you happy? Maybe it’s reading a book or going out with friends. Whatever the case, look forward to these things — and do them.
    3. Practice coping statements like I have been through these episodes many times. I will get through them.

You may find the pursuit of these three goals therapeutic. Following your goals, combined with medication and actual therapy, may stabilize your mind and emotions and help you keep that job. If you believe or a loved one suffer from bipolar disorder and are having occupational difficulties, the psychiatrists, psychologists, psychiatric nurse practitioners or psychotherapists at Arista Counseling can assist you. Contact our Bergen County, NJ or Manhattan offices of psychologists, psychiatrists, and psychotherapists at (201) 368-3700 or (212) 722-1920 to set up an appointment.  Visit http://www.acenterfortherapy.com for more information.

Source: https://www.psychologytoday.com/articles/200711/holding-down-job-bipolar

Bipolar Disorder: Signs and Symptoms

bipolar-disorder

Bipolar Disorder: Signs and Symptoms

Catherine Ferreira

Bipolar disorder has a history of being greatly misunderstood. Often confused with Dissociative Identity Disorder (formerly known as multiple personality disorder), it is an affliction whereby the afflicted goes through on-and-off periods of mania and depression. Symptoms for bipolar depression include:

  • Depressed mood
  • Change in weight (not due to dieting)
  • Change in sleeping habits
  • Fidgety OR slow
  • Fatigue
  • Feelings of worthlessness or inappropriate guilt
  • Poor concentration or having difficulty making decisions
  • Thinking about death or suicide

On the other hand, symptoms of bipolar mania include:

  • Exaggerated beliefs of having power, importance or ability
  • Decreased need for sleep
  • Extremely talkative
  • Rapidly changing, unrelated or racing thoughts
  • Easily distracted
  • Extremely driven behavior
  • Risky behavior

How to deal with bipolar disorder in a way that goes beyond medication? Simple: psychotherapy and support groups.

If you or a loved one experience the above symptoms, the psychiatrists, psychologists, psychiatric nurse practitioners or psychotherapists at Arista Counseling can assist you. Contact our Bergen County, NJ or Manhattan offices of psychologists, psychiatrists, and psychotherapists at (201) 368-3700 or (212) 722-1920 to set up an appointment.  Visit http://www.acenterfortherapy.com for more information.

Source : http://www.healthline.com/health/bipolar-disorder-symptom-information?driverbipolarsymptoms

Anxiety and Guilt: Guilt That’s in Your Head (Part 2)

In the last entry on guilt, we talked about the type of guilt that arises when you do something wrong. This time, we will look at the guilt that comes just from the things that you think, which can also cause anxiety. You didn’t actually commit any action. Instead, perhaps you think you did something wrong, or just secretly want to do something that seems wrong.

An example of a type of unwanted thought that could cause guilt may be feeling attraction towards someone you wouldn’t normally feel attracted to or aren’t “supposed to” feel attracted to—for example, someone of the same sex or your best friend’s partner. Other intrusive thoughts that trigger guilt could be dirty or violent thoughts about someone you know—again, someone that you shouldn’t have these thoughts about because they seem “messed up,” appalling, or simply just wrong. You feel guilty because these thoughts are labeled as forbidden, and you know you shouldn’t be thinking them, but you just can’t help it. Perhaps you wished for something bad to happen to someone, and it actually did happen. You may also feel guilty because not only did you have those thoughts to begin with, but it also seems as if they actually came true because you had wished it.

If you are experiencing guilt just from the thoughts in your head, you’ll find that it is quite common for people to deal with them by “putting them away.” We often just shift our attention away from the thought.” We might also deal with them by denying that we even had such thoughts. We think to ourselves, “No, you weren’t thinking that. That didn’t happen. I was just being silly.” Repressing these thoughts and denying them are not long-term, effective ways to deal with these thoughts and the guilt that accompanies them. Even though they may seem inappropriate or forbidden, it is important to recognize that sometimes we cannot always control what we think.

Rather than trying to repress or deny unwanted and intrusive thoughts, a better approach would be to learn to accept them. Just as we mentioned in our previous entry on guilt, acceptance is the first step on the way to getting rid of these guilty feelings. Although these thoughts may be disturbing to you and you don’t want to think them, recognize that it is okay and that it is normal. What is important is that you do not act on the thoughts, but simply make a conscious effort to reduce them. If guilty feelings are arising from something you think you did, first check to make sure you’re not wrongly accusing yourself. It’s also common for people to blame themselves for more than they should.

Remember that you don’t need to struggle alone. If you or a loved one live in Manhattan or Bergen County New Jersey and are having trouble dealing with guilt, self-criticizing thoughts, or self-esteem issues, the psychiatrists, psychologists, psychiatric nurse practitioners or psychotherapists at Arista Counseling can assist you. Contact our Bergen County, NJ or Manhattan offices of psychologists, psychiatrists, and psychotherapists at (201) 368-3700 or (212) 722-1920 to set up an appointment.  Visit http://www.acenterfortherapy.com for more information.

Written by Kassandra C.
 Sources: Krauss, Susan W. (2012, Aug. 11). The Definitive Guide to Guilt: The five types of guilt and how you can cope with each. Retrieved from https://www.psychologytoday.com/blog/fulfillment-any-age/201208/the-definitive-guide-guilt

Dual Diagnosis: Substance Abuse and Bipolar Disorder

substance-abuse-bipolar-disorder-therapy-nj
By: Michelle J. Hong

As most of us know, bipolar disorder is a mental illness that induces the two mental states of mania and depression. These two polar opposite states can cause elevated energy levels, anxiety, depression, sleeplessness, etc. Because of this constant war of going back and forth between the two mental states, individuals diagnosed with bipolar disorder tend to self-medicate to feel “normal”. Unfortunately, often these individuals do not realize that drugs and alcohol have the opposite effect on their illness, and exacerbate the symptoms of bipolar disorder. Self-medication usually includes all types of drugs such as alcohol, marijuana, illegally obtained prescription pills, and other mood-altering substances. Approximately 60% of people who suffer from bipolar disorder experience substance abuse at least once in their lifetime. People who exhibit both bipolar disorder and drug and alcohol problems have a dual diagnosis of bipolar disorder and substance abuse, but it is important to locate a psychologist, a psychiatric nurse, or a psychologist who can correctly diagnose this. When individuals with bipolar disorder use drugs and alcohol while taking mood-stabilizing medication, it can often interfere with the medication’s effectiveness and create chemical imbalances in the brain that can worsen the manic and depressive episodes. Substance abuse effects can mask the symptoms of bipolar disorder, resulting in incorrect treatment. In order to prevent misdiagnosis of individuals with both bipolar disorder and substance abuse, the substance abuse needs to stop. Once individual no longer abuses substances, a proper evaluation and diagnosis can take place. Dual diagnosis treatments are becoming more common to accurately diagnose both disorders and give the most fitting treatment for these individuals.

 

If you or a loved one live in Manhattan or Bergen County New Jersey and might be suffering from bipolar disorder and/or substance abuse, the psychiatrists, psychologists, psychiatric nurse practitioners or psychotherapists at Arista Counseling can assist you. Contact our Bergen County, NJ or Manhattan offices of psychologists, psychiatrists, and psychotherapists at (201) 368-3700 or (212) 722-1920 to set up an appointment.  Visit http://www.acenterfortherapy.com for more information

 

Sources:

http://www.recoveryranch.com/articles/dual-diagnosis/bipolar-disorder-substance-abuse/

http://www.addictionsearch.com/treatment_articles/article/understanding-the-connection-between-drug-addiction-and-bipolar-disorder_108.html

ADHD vs. Bipolar Disorder

adhd vs bipolar disorder Attention Deficit Hyperactivity Disorder and Bipolar Disorder are often difficult to diagnose due to the fact that they share many symptoms. ADHD can be characterized by debilitating inattention and hyperactivity, where as bipolar disorder is characterized by mood swings between high energy and activity and feelings of sadness or depression. Some symptoms that often manifest in both patients with ADHD and bipolar disorder are:

  • Rapid, impulsive speech
  • Physical restlessness
  • Trouble focusing
  • Irritability, and sometimes
  • Defiant or oppositional behavior

If you, or a loved one, are suffering from ADHD or Bipolar Disorder and need diagnosis or treatment, the licensed professional psychiatrists, psychologists, psychiatric nurse practitioners and psychotherapists at Arista Counseling and Psychological Services can assist you. Contact our Bergen County, NJ or Manhattan, NY offices of psychologists, psychiatrists, and psychotherapists at (201) 368-3700 or (212) 722-1920 to set up an appointment. Visit http://www.acenterfortherapy.com for more information at Arista Counseling

ADHD: Stimulant Drug Abuse

By: Nicole Bieniasz

Attention Deficit Hyperactivity Disorder (ADHD) is a very common disorder that is associated with symptoms of inattention, hyperactivity, and impulsivity. The most effective way of managing ADHD symptoms is through the intake of stimulants, typically known as Adderall, Vyvanse, or Concerta. As diagnosis of ADHD increase, the prescription of these stimulant drugs increases as well. Since ADHD is difficult to diagnose and understand, many individuals seek this opportunity to imitate symptoms of ADHD in order to retrieve stimulant prescriptions and abuse their use. The abuse of adderall by college students has always been common, but now stimulant abuse is entering the workplace as well. As the demands of jobs and personal lives increase, stimulants are being used to help people enhance productivity. Although this may sound ideal, taking stimulants when not necessary can lead to major health problems. The use of stimulants can easily turn into an addiction, where withdrawal from the drug can cause fatigue, depression, and disturbed sleep patterns. Use of high dosage of such drugs can also lead into very serious cardiovascular problems such as strokes. Various complications are likely to occur if stimulant drugs are being abused and taken with the oversight of a doctor.

Despite the abuse, those who are prescribed medication for ADHD or ADD have a very positive experience. With the appropriate dosage of medication, those who suffer from ADHD experience a reduced amount of fidgeting, impulsivity, and other hyperactive behaviors. The symptoms of ADHD lessen because stimulants allow brain chemicals to increase, such as dopamine and norepinephrine, producing a focused and calmed mindset. The benefits of these drugs are prominent when taken appropriately as directed by doctor. It is very important to understand how medications work and when they should and should not be used.

If you or a loved one live in Manhattan or Bergen County New Jersey and might be suffering from drug abuse, the psychiatrist, psychologists, psychiatric nurse practitioners and psychotherapists at Arista Counseling and Psychological Services can assist you. Contact our Bergen County, NJ or Manhattan, NY offices of psychologists, psychiatrists, and psychotherapists at (201) 368-3700 or (212) 722-1920 to set up an appointment. Visit http://www.acenterfortherapy.com for more information.

Sleep Deprivation: What Inadequate Sleep Does to Our Body

By: Nicole Bieniasz

Are you sleeping eight hours every night? Consider yourself lucky! Our fast-paced environment has fooled us into believing we can successfully function with almost no sleep. What some people forget is that an adequate amount of sleep is necessary for maintaining positive mental and physical health because our bodies repair and restore themselves at that time. Interfering with this restoration by cutting back on sleep will eventually take a toll on an individual because the brain is not taking in new information or strengthening memories. Here are some examples of how shorter hours of sleep take a toll on our brains and affect functioning:

1. Slower Thought Process: Sleeping less than the 8 average hours necessary causes lower alertness and concentration, which impairs judgment. Making decisions and judging situations is very prominent and important in the workplace and at home.

2. Impaired Memory: When individuals do not allow their brains to restore during sleep, the nerve connections that are responsible for memories are not strengthened.

3. Difficulty Learning: Slower thought processing and difficulty learning restricts the individual from picking up any new information, which is essential for learning.

4. Problems with Mood: Lack of sleep not only hurts work performance and relationships, it is also capable of leading to problems with mood. Depression and anxiety are linked to poor sleeping habits.

To avoid these problems, here are some ways to get a good night sleep:

  • Keep a regular sleep/wake schedule
  • Avoid heavy meals before bed
  • Minimize caffeine intake especially 6 hours prior to sleep
  • Exercise
  • Minimize hot and cold temperatures, noise, and light when going to bed
  • Develop a regular bedtime

If you are concerned that you or a loved one may have trouble sleeping, the licensed professionals at Arista Counseling and Psychotherapy can assist you.  Contact our Bergen County, NJ or Manhattan offices of psychologists, psychiatrists, and psychotherapists at (201) 368-3700 or (212) 722-1920 to set up an appointment.  Visit http://www.acenterfortherapy.com for more information.