depression bergen county nj

Burnout; what it is and how to prevent it

GalleryJudy Gurfein Leave a comment

By Katie Weinstein

When push comes to shove, stress becomes burnout. This can lead to detrimental effects on our physical and mental health, so it is important to recognize when burnout is beginning to occur. Burnout is a gradual process that is defined as an extended period of stress and exhaustion that feels like it isn’t improving. Some signs of burnout are losing interest and motivation to a point in which you become disengaged, which can cause a cynical and resentful attitude. Burnout also affects physical health, causing changes in appetite and sleep and frequent headaches.

The causes of burnout include work, lifestyle, and personality traits. Lack of recognition in a chaotic or high pressure environment can make someone more susceptible to burnout. Some ways to improve work related burnout are to outsource or share responsibilities and to set boundaries for off times such as not checking email. Another cause of burnout can be caregiver burnout, since it can be very tiring to care for a child. It’s important to remember that it does not make you a bad parent or friend to ask for help when you need it. Everyone needs a break. Additionally, a perfectionist attitude and pessimistic view on things may lead to burnout, it is important to recognize when burnout is beginning so that you can practice stress managing techniques and find time to do things that you enjoy to prevent burnout. 

Knowing the difference between a burnout and being overly stressed is essential for mental health. It is important to limit contact with negative people and reach out to supportive friends and family in order to shape a more positive attitude and prevent burnout.

If you or someone you know is experiencing burnout or 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 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.psychologytoday.com/us/basics/burnout

Burnout Prevention and Treatment

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

    Depression and Humor

    GalleryJudy Gurfein Leave a comment

    By Katie Weinstein

    Humor is not only used as a way to get a good laugh with friends, but as a coping mechanism to defuse a situation. Using a positive humor style is associated with good health outcomes, but using a negative humor style, such as self-deprecation, is linked to depression.

    It is important to know how to laugh at yourself, but it is also important to know when your self-deprecating has gone too far and is leading to depression. Some signs might be that you can’t take a compliment or that it is a reflex to use self-deprecating humor since this is indicative of low self-esteem. It is easy to justify self-deprecating humor as not wanting to sound too arrogant, but if you use it alone, this is a major warning sign since no one will be there to laugh at your jokes. Another sign might be that you start to actually believe what you’re saying. The point of self-deprecating humor is to make light of imperfections, not to validate insecurities. When you’ve gone too far with self-deprecating humor, the people around you might either tell you this or stop laughing at that type of humor since it makes other people uncomfortable.

    The relationship between self-depreciative humor and depression remains unclear as to which causes the other or if there is a cyclical effect between the two. It is possible that people who are depressed choose a self-deprecating humor style because they are attempting to cope with low self-esteem or it is possible that repetitive negative humor causes low self-esteem and depression. A third possibility is that genetic and environmental factors affect depression and negative humor styles.

    One way to stop using self-deprecating humor is to fight the urge to put yourself down when someone compliments you and just say thank you. Being cognizant of when you are using self-deprecating humor and the way the way that it makes you feel is important for helping you to stop using it.

    If you or someone you know is experiencing low self-esteem 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 http://www.counselingpsychotherapynjny.com/

    https://www.psychologytoday.com/us/blog/humor-sapiens/201911/the-relationship-between-humor-and-depression

    https://www.talkspace.com/blog/self-deprecation-unhealthy/
    View at Medium.com
    View at Medium.com

    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/

        Low Self-Esteem: Dating Apps Can Decrease One’s Self-Confidence

        GalleryJudy Gurfein Leave a comment

        By: Lauren Zoneraich

        With the advent and prolonged continuation of the COVID-19 pandemic, many young adults have turned to dating apps as a way to connect with potential romantic partners, speak to new people, and entertain themselves. The most popular dating apps among young adults are Tinder, Bumble, Hinge, and Grindr, which are visually-based dating apps. Instead of text-heavy profiles, like those seen on Match.com, users swiftly accept or reject others based on their profile photographs, which dominate the page display. How does the visually-based nature of dating apps affect the self-esteem of dating app users?

        One’s physical appearance and self-esteem are strongly linked. Self-esteem is defined as the self-evaluation a person holds regarding their worth, success, and capabilities. In a survey-based study of young adults, researchers determined that the visual nature of Tinder could raise or lower the self-esteem of users. Users who matched with a lot of attractive users and received many messages experienced an ego boost. Contrarily, many participants reported that the visual nature of the Tinder made them feel more self-conscious about their appearance. Users felt a decrease in self-esteem when they did not match with a lot of people or when they only received messages from unattractive matches. Many participants reported “swiping left on” (rejecting) users who they anticipated would not “swipe right on” (accept) them, or swiping left on users they liked to avoid the possibility of being rejected and experiencing a decrease in self-confidence. These reports highlight how Tinder can trigger negative assessments of the self even before a user is rejected, and of course, decrease a user’s self-confidence after rejection.

        Online dating apps are not meant for everyone. If you find that apps such as Tinder are lowering your self-esteem, it may be best to delete these apps and meet partners through other avenues.

        If you or someone you know is struggling with low self-esteem, 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/

        Reference:
        Kallis, R. (2021). Creating a future relationship or destroying my self-esteem? An exploratory study on dating app experiences and well-being. Journal of Communication Technology, 4(1), 78-100. https://doi.org/10.51548/joctec-2021-005

        Image Source:

        https://www.theverge.com/2016/1/11/10749670/tinder-secretly-ranks-users-desirability

        The Impact of Online Support Groups: Addiction during a Pandemic

        GalleryJudy Gurfein Leave a comment

        By Charlotte Arehart

        With research showing that the rates of substance abuse are increasing during the COVID-19 pandemic, it is more important than ever for those who are struggling to seek help. Typically, support groups are a great way for those who suffer from substance abuse disorder to seek help. However, with CDC regulations as well as individuals’ anxieties about catching COVID-19, it is difficult for addicts to find support groups. Research has even shown that individuals struggling with substance abuse disorder are at higher risk of contracting the Corona virus than those who do not suffer. Face-to-face interactions are not always possible during the pandemic, especially not in large groups. This has resulted in the dawn of online support groups. The idea is that individuals can get the support that they need in a safe social environment online, perhaps over Zoom, without risking contracting COVID-19. But just like any other major change, online support groups come with its side-effects, whether they be positive or negative.

        Online support groups definitely have some benefits for individuals who attend. Some of these include:

        1. Attendees continue to receive support during pandemic
        2. Meet new people from across the country
        3. Protection from the virus
        4. Discuss issues openly and honestly

        While all of these effects seem great at first, there are certainly some negative aspects of attending support groups online, including:

        1. Online meetings are not as effective as in-person meetings
        2. Lack of conversation
        3. Lack of connectivity (not all areas have access to Wi-Fi!)
        4. Low engagement levels

        Ultimately, it is difficult to say whether or not online support groups are outright a good or a bad thing. It ultimately comes down to an individual’s preference. Luckily, with infection rates declining in the United States and social regulations beginning to ease, in-person support groups are likely to begin meeting again soon, if they have not already!

        If you or someone you know needs substance abuse 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:

        The Impact of Online Support Groups During COVID-19

        https://www.apadivisions.org/division-49/publications/newsletter/group-psychologist/2021/03/virtual-group-benefits

        Image Source: https://www.beyondmybattle.org/support-groups