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.



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

Dementia: Early Signs

By Dara Kushnir

You may find it difficult determining whether you or someone you know is experiencing typical age-related changes or early symptoms of dementia. Dementia affects a person’s language and reasoning abilities, communication, and focus. Remembering where you last left your keys or forgetting an appointment once in a while does happen and does not necessarily mean you have dementia.

Being aware of early signs of dementia can help you figure out if you would need to schedule an appointment with a neurologist for further testing. A person may experience:

  1. Memory loss that disrupts daily life. Individuals with dementia may be able to remember an event twenty years ago, but have trouble remembering what they did earlier in the day or important dates. They repeatedly ask for the same information and begin to rely on electronic devices or family members for reminders. While those who are going through typical age-changes do forget things, they are later able to remember them or retrace their steps.
  2. Difficulty completing familiar tasks. As individuals with dementia get older, they occasionally need help with tasks such as working a microwave. Those with dementia often have difficulty with daily tasks such as driving to a familiar place or remembering how to do a favorite craft.
  3. Confusion with time and place. Individuals with dementia may not recognize landmarks or places that were familiar. Individuals in the later stages of dementia can understand what is happening currently, but not tomorrow or yesterday. Individuals with early stages of dementia may have difficulty remembering what day, date, or even year it is.
  4. Poor judgement. Everyone makes a bad decision once in a while. Those with dementia can experience changes in decision-making, which can lead to bad financial decisions such as spending an excessive amount of money on clothing or food. They may also pay less attention to hygiene.
  5. Changes in mood and personality. Individuals with dementia can become confused, suspicious, frustrated, or angry in situations where they are out of their comfort zone or even at familiar places, at home, or with friends. These changes go beyond feeling annoyed toward a disruption in routine.
  6. Problems with speaking or writing. Individuals may find it hard to follow conversations or storylines, struggle to find the right words, or even say the same thing in a short timespan.
  7. Withdrawal from work or social activities. Due to the changes individuals start to experience, they may withdraw themselves from social activities, work, or hobbies. They may find it difficult to remember how to interact in social settings or complete tasks.


If you or someone you know appears to be suffering from dementia, 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

Advice for Dementia: Support for Caregivers

By Dara Kushnir

Caring for someone with dementia can be demanding and mentally exhausting, but it is also important to maintain and strengthen your relationship. Individuals with dementia experience memory problems, impaired judgment, difficulty communicating, and confused thinking more severe than normal aging. In the most severe stage, they are completely dependent on others for even their basic needs, such as hygiene and food. Therefore, finding ways to handle the challenges caregivers often face is essential so both you as a caregiver and the person who has dementia enjoy spending time together.

  1. Know your limits – As much as you want to be able to manage everything, you are only one person. Remember to focus on what’s important and don’t be too hard on yourself about things you can’t manage. Taking breaks allows you to reflect and relax.
  2. Coping with changes – It can be difficult to see the person you care for struggling with things they used to be able to do. It is important to focus on what they can do and support these things rather than what they can’t do.
  3. Address difficult emotions – you may feel isolated, angry, frustrated, or even guilty with your situation. These are very common reactions when caring for someone with dementia and should not make you feel shame. Figuring out how to deal with these feelings is vital though, because they can have a negative impact on your wellbeing as well as the wellbeing of the recipient of your care. Just being there and caring for your loved one helps them immensely.
  4. Be in the moment – Acceptance is a reoccurring, crucial part of caring for a person with dementia. Those with significant memory loss may not be able to discuss things they used to do or participate in certain activities. They can still enjoy things directly in front of them such as looking at photographs and playing simple games, and your company.
  5. Ask for help – Don’t be afraid to ask for help and support. Involving family and friends or voluntary organizations can provide you with support and reduce your stress. It may also help to talk about dementia to others to help them understand what you are doing and suggest ways others can help.


If you or someone you know needs help coping with the dementia of a family member, 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


By: Dianna Gomez

Insomnia is a condition that makes it very difficult for a person to fall asleep and stay asleep throughout the night. Insomnia can be caused by medical conditions such as hyperthyroidism, or for psychological reasons such as anxiety, depression or intrusive thoughts. In addition to these possibilities, the type of lifestyle an individual chooses to live can also be responsible for creating symptoms of insomnia. There are a few things that people who experience insomnia tend to do that may be worsening their symptoms without them even knowing. Some examples of these lifestyle habits include:

  1. Taking Mid-Day Naps
  • Whether it is short or long, sleeping in the middle of the day can increase a person’s chances of having difficulty sleeping through the night. If you can, try to avoid taking naps all together.
  1. Sleeping In Late
  • When a person is lacking sleep, it isn’t uncommon for them to attempt to fix the problem by sleeping in later the next morning to make up for their “lost hours.” However, by doing so, you are confusing your body clock which then makes it difficult to fall asleep at a regular time again the following night. This can quickly create a vicious cycle that is even harder to break.
  1. Taking Your Work Home With You
  • Regardless of what your occupation is, almost everybody has hectic daily schedules. When people are feeling behind on their work, they often decide to put in a little “over-time” by bringing their work home with them. By doing this, you make the process of “winding down” at night harder as your mind is kept wide awake and pre-occupied when it shouldn’t be.
  1. Using Electronics
  • Especially in today’s generation, it is extremely common for people to use their phones or laptops while lying in bed right before they intend to fall sleep. The problem with this, however, is that bright screens like those on our electronics actually stimulate the brain more and cause you to stay awake. This then makes it more difficult to fall asleep for the night.
  1. Working Irregular Hours
  • If you have a job that has you on various different “shifts,” sleeping may become a problem for you. If a person doesn’t stay on a regimented time schedule, their body clock cannot decipher when it should be waking up to take on a new day or winding down to get ready for bed.


If you have already tried reversing these lifestyle habits and still regularly experience symptoms of insomnia, 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



Communication Differences Between Genders


By: Dianna Gomez

Where would the world be without communication? Whether it be conscious or unconscious, we communicate in one way or another with those around us every minute of every day. We communicate in the work place, in relationships, with our friends and family – sometimes even when passing by strangers walking down the street. You would think that with the amount of communicating we do as a human species on a daily basis, we would have it all down to a “ T ” by now but that is far from the truth. Every once in a while we experience miscommunication and other frustrations related to interacting with the people around us. In order to improve the quality of communication in one’s own life, it is important to begin by understanding the different methods of communication between each gender. There are so many fundamental differences regarding the way in which men and women behave and think when it comes to communication. On average, women tend to speak more than men and when each gender is communicating, they do so for different reasons and from different perspectives.

Here is a list of these differences:

  1. Reasons For Talking
  • Men believe that communication should always have a clear purpose. Whether there is a problem in need of a solution or a specific question needing an answer, men use communication to get to the bottom of any topic of conversation in the most efficient way possible. On the other hand, a woman views communication as a way to discover how she may feel about something. Women like to lay all the potential pros and cons out on the table and discuss each more thoroughly. When it comes to relationships, communication is a way in which women increase intimacy with their significant others. They share their thoughts to rid themselves of any negative feelings they may be having.

2. How Much Should Be Said

  • Similarly to the first point, men always put productivity and efficiency at the very top of their lists. When telling a story, men only share the details that are absolutely necessary to get to the point. Women tend to share as much detail as possible, even if it isn’t necessarily needed. This is often times why men may interrupt women half way through an explanation when they have already received the point that is ultimately trying to be made.

3. What Does It Mean To “Listen?

  • When a woman first initiates a conversation with a man, she assumes they are doing so to obtain some type of advice or assistance. They automatically think to themselves “what can we actually do about this?” From the woman’s perspective, having the conversation all on it’s own is a way of finding a solution to any problem. Women just want to feel like they are being heard and understood, and if they feel this is happening any problem will already feel partially solved.

Communication is so important in every aspect of our lives. Especially when it comes to having relationships with significant others, if these fundamental differences aren’t already understood, there will be many disagreements and arguments about things that there wouldn’t be otherwise. Regardless of what gender you are, the next time you find yourself feeling frustrated when communicating with the opposite sex, take a step back and try to see the situation from their point of view. If this is done over a long enough period of time, you will find that life will soon go a lot smoother in all areas of your life.


If you or anybody you know may be having trouble with communication or may be having relationship problems they can’t seem to resolve, 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