depression bergen county nj

Bipolar Disorder: The Impact on Family Dynamics

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Bipolar Disorder: The Impact on Family Dynamics

By, Maro Mikhaeil

Living with a family member who has a mental illness is never fun. Especially when it comes to bipolar disorder, which is a disorder where the individual will have frequent highs and lows. This can sometimes be hard on the family members as they witness their loved one struggle and take it out on the family. Individuals with bipolar disorder often go through many hardships and, unfortunately, may not always want to seek help. This can lead to broken families and trauma for other family members. Some individuals may even go undiagnosed, which leads to more devastating consequences that will derail their lives in significant ways.

Types of Bipolar Disorder:

There are two types of Bipolar Disorder: Bipolar Disorder I and Bipolar Disorder II. Bipolar Disorder I is more severe than Bipolar Disorder II and usually is characterized by several days of insomnia because of mania. Mania is characterized by increased energy, excessively high moods, extreme irritability, racing thoughts, distractibility, spending sprees, and denial that anything is wrong.  As for Bipolar Disorder II, the disorder is characterized as experiencing hypomanic episodes, but it is also accompanied by severe depression-like symptoms just as severe as Bipolar Disorder I. These disorders are treatable with medications and psychotherapy. Medications may include mood stabilizers, antidepressants, and antipsychotics to manage elevated mood and depressed episodes.

What can I do to help a loved one with bipolar disorder?

Although it can be tough to be around someone with bipolar disorder, it is also important to understand the illness and seek out a professional that can help. A person with bipolar disorder usually feels isolated because of the condition and faces obstacles on a daily basis. Supporting a family member who may be suffering from this condition is essential for their recovery. Keep in mind that people with bipolar disorder can still lead fulfilling lives, but strongly depends on their support system and their willingness to get help.

If you or someone you know is struggling with bipolar disorder or has a family member with the disorder, 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.healthline.com/health/bipolar-disorder/bipolar-1-vs-bipolar-2#treatment

https://www.heretohelp.bc.ca/infosheet/bipolar-disorder-effects-on-the-family

Insomnia: What can cause Insomnia?

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Insomnia: What can cause Insomnia?

By, Maro Mikhaeil

Insomnia is a sleep disorder that is characterized by trouble falling or staying asleep. According to the Cleveland Clinic, around one in three adults worldwide suffer from insomnia symptoms. Sleeplessness can be classified into two categories: acute and chronic. Additionally, insomnia may be a sign of a number of mental health issues or even medical conditions. There are several factors that might cause insomnia, including genetic makeup, stress, anxiety, caffeine, alcohol, and more.

Stress, whether it is from your job or school, may keep you from falling asleep. Given that anxiety causes a lot of worry, it can also interfere with your ability to sleep. Caffeine can cause insomnia because it blocks the adenosine receptor, preventing sleepiness and disrupting your sleep pattern. Additionally, studies have shown that alcohol consumption can adversely affect REM sleep, which is necessary for consistently getting high-quality sleep. Lastly, maintaining good sleep hygiene is essential since poor sleeping patterns can eventually lead to insomnia.

If you or someone you know is struggling with insomnia or mental health, 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://my.clevelandclinic.org/health/diseases/12119-insomnia

https://www.piedmont.org/living-real-change/how-does-alcohol-affect-your-sleep#:~:text=The%20biggest%20problem%20that%20alcohol,vivid%20dreams%2C%E2%80%9D%20says%20Dr.

https://www.nhsinform.scot/illnesses-and-conditions/mental-health/insomnia%20-%20causes

Therapy, Men in therapy: Why do men find it difficult to seek help for psychological issues?

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By: Ipek Yurttutan

Barriers in our society have prevented men from seeking therapy, but why? According to CDC, only 8% of American men received counseling or therapy in 2020. (CDC, 2020) Help-seeking may be perceived as a feminine quality and as well as a direct threat to the concept of masculinity. Depression is the leading mental health disorder that effects men. (6 million every year) Men tend to express their depressive symptoms different than women, and majority do not fit in the criteria for the DSM5-TR. For instance, externalizing behaviors such as alcohol consumption, aggressive behaviors and irritability are very common among men. Some men stay away from therapy because they might dislike the idea that seeking help will make them look “weak”. These biases are deeply ingrained within our society that even some professionals may have certain expectations of men such as behaving like the masculine stereotypes. In some cases these expectations may lead to misdiagnosis and wrong treatment plans. It is very important that we diminish these unrealistic expectations and let everyone have the same access to mental health care.

If you or someone you know is struggling with their mental health, 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/

Social Anxiety: Social Anxiety vs. Introversion

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Social Anxiety: Social Anxiety vs. Introversion

By, Maro Mikhaeil

People often find themselves confusing social anxiety with just being shy. This leaves many individuals go undiagnosed and may even worsen overtime. But what’s the difference?

First and foremost, social anxiety disorder is characterized as feeling symptoms of anxiety when it comes to social situations. Social anxiety is the feeling of being judged by others causing one to feel suppressed and feel unable to express oneself. One who feels symptoms of anxiety when presenting in front of a class or even have trouble making friends may be experiencing social anxiety.

However, introversion can certainly look the same as well. Introversion is characterized as being quiet most of the time in social situations and feeling more energy when spending time alone. An introverted individual spends time alone as a way of recharging for a social event and is a choice as opposed to individuals who experience social anxiety.

Individuals who experience social anxiety want to connect with others but feel held back because of the anxiety that is attached to the idea. They will often use alone time not to recharge themselves but as a way of protecting themselves and ultimately avoiding a social situation altogether.

If you or someone you know is struggling with their mental health, and may be experiencing social anxiety 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.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness#:~:text=They%20feel%20symptoms%20of%20anxiety,of%20situations%20or%20social%20interactions.

https://www.psychologytoday.com/us/basics/shyness#what-causes-shyness

https://mhanational.org/introversion-vs-social-anxiety#:~:text=With%20social%20anxiety%2C%20avoidance%20of,care%20rather%20than%20self%2Dprotection.

Motivation: How to Complete your To-Do List in the Midst of a Depressive Episode

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Motivation: How to Complete your To-Do List in the Midst of a Depressive Episode

By, Dyami Efroimson

A major symptom of depression that can make life difficult for those experiencing it is the loss of motivation. Activities one may have enjoyed in the past, no longer bring joy and everyday responsibilities feel impossible to accomplish.  

What Causes This?

With depression, there is a severe lack of dopamine which is responsible for the rewarding feeling we get when we complete at task. This chemical imbalance in conjunction with other factors like lifestyle choices, genetic predisposition, and medication causes a decrease in one’s motivation. The thought of doing any activity can feel overwhelming, causing those struggling with depression to be unable to push themselves to complete even simple tasks.

How does one deal with this lack of motivation?

The key thing is: be patient with yourself. Do not beat yourself up for not being able to do seemingly “easy” tasks. Break the task making you feel overwhelmed into smaller parts that seem a little more doable. For example, if you’re having trouble getting out of bed, start with just sitting up if you are lying down. Or if you need to clean your room, just focus on picking up one piece of clothing off the ground, then another, then another, until you have no clothes left to pick up. By breaking your projects down into simpler tasks, the larger items on your to-do list become a little more manageable. As you complete these bite-sized tasks, your motivation will slowly make its way back as you build healthy habits, and your to-do list will get smaller and smaller.

If you or someone you know is struggling with their mental health please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrist, psychiatric nurse practitioners, or psychotherapists 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 http://www.counselingpsychotherapynjny.com/

Depression Motivation: A Brief Guide

PTSD and Memory Loss

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PTSD and Memory Loss

By: Diane Ulloa

PTSD causes feelings of intense, disturbing thoughts and feelings related to their experience that last long after the traumatic event has ended. People with PTSD may relive their traumatic event(s) through flashbacks or nightmares and they may feel sadness, fear, or anger. They may also feel detached or estranged from other people (American Psychiatric Association). PTSD also has the ability to cause memory loss whether it be short-term or long-term, both can be affected. Four steps to fix PTSD related memory loss would be:

  1. Get treatment, therapy and medication are two of the most common treatment options for PTSD. Medication and therapy such as Cognitive Behavioral Therapy [CBT] or prolonged exposure therapy have been shown to be effective in managing PTSD.
  2.  Stay Active. By staying physically active and mentally active through brain games or learning new skills, one can help keep their brain sharp and active.
  3. Prioritize Sleep, good sleep appears to be essential for memory consolidation and processing.
  4. Use Memory Aids, which are tools that are designed to help accommodate people who experience memory difficulties which could include calendars, notepads, and alarm clocks. (healthline.com)

The types of behavioral therapy that can aid in this memory loss and other symptoms caused by PTSD are:

  • Cognitive Therapy: A type of talk therapy that helps people with PTSD recognize the cognitive patterns that are keeping them stuck, this is often paired with exposure therapy.
  • Exposure Therapy: Helps people with PTSD safely face both situations and memories that they find frightening so they can learn to cope with them effectively. This kind of therapy can be particularly helpful for flashbacks and nightmares.
  • Eye Movement Desensitization and Reprocessing (EMDR): Combines exposure therapy with a series of guided eye movements that help you process traumatic memories and change how people with PTSD react to them. (Mayoclinic.org)

Primary treatment is psychotherapy, but medication could also be prescribed as needed. Medication may include antidepressants, anti-anxiety medications, and prazosin which has the ability to reduce or suppress nightmares in some people with PTSD.

If you or someone you know is struggling with their mental health and/or PTSD (memory loss) 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.psychiatry.org/patients-families/ptsd/what-is-ptsd#:~:text=People%20with%20PTSD%20have%20intense,or%20estranged%20from%20other%20people.

https://www.healthline.com/health/mental-health/memory-loss-and-ptsd#causation

https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/diagnosis-treatment/drc-20355973#:~:text=For%20PTSD%2C%20cognitive%20therapy%20often,helpful%20for%20flashbacks%20and%20nightmares.

Marijuana/Cannabis Addiction, That Can’t Happen, Right?

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Marijuana/Cannabis Addiction, That Can’t Happen, Right?

By: Diane Ulloa                                                                                      

 Cannabis use has been growing as a result of recently imposed laws. Cannabis use disorder or cannabis addiction has grown tremendously in the past few decades. Apart from the glamorization of Cannabis use in popular movies and TV shows, Cannabis has been shown to aid in medicinal practice in order to alleviate patients’ painful side effects from chemotherapy. Cannabis has also been found to alleviate symptoms in people with Tourette syndrome. Despite the common misconception that people cannot become addicted to Cannabis use, “approximately one in ten people who use marijuana will become addicted. When they start before the age of 18, the rate of addiction rises to one in six.” (samhsa.gov) “Marijuana use, especially frequently (daily or nearly daily) and in high doses, can cause disorientation and sometimes unpleasant thoughts or feelings of anxiety and paranoia.” Alongside these side effects, cannabis use can also lead to disassociation or temporary psychosis which is when the user does not know what is real and is experiencing hallucinations, paranoia. It can also have long-lasting detrimental mental disorders including schizophrenia (cdc.gov). Users know they are addicted if:

  • They use more marijuana than intended
  • Trying but failing to quit using marijuana
  • Spending a lot of time using marijuana
  • Craving marijuana
  • Using marijuana even though it causes problems at home, school, or work
  • Continued marijuana use despite social or relationship problems
  • Giving up important activities with friends and family in favor of using marijuana
  • Using marijuana in high-risk situations, such as while driving a car
  • Continued use of marijuana despite physical and psychological problems
  • Needing to use more marijuana to get the same high
  • Experiencing withdrawal symptoms when stopping marijuana use

Navigating cannabis addiction can be difficult without help. Cognitive Behavioral Therapy [CBT] has been shown to tackle the psychological effects of addiction and is considered the most effective form of treating addiction. One approach is called motivational interviewing which helps to turn ambivalence towards quitting into energy to quit. By combining motivational enhancement therapy and CBT, a user can gain a sense of control and clarity that was kept from them because of their addiction.

If you or someone you know is struggling with their mental health and/or a cannabis addiction, 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.samhsa.gov/marijuana

https://www.cdc.gov/marijuana/health-effects/mental-health.html https://www.yalemedicine.org/conditions/marijuana-use-        disorder#:~:text=Behavioral%20therapies%20may%20help%20treat,tangible%20r        ewards%20for%20positive%20behaviors.

Post-Grad Depression

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Depression/Post-College

By: Ingrid Guevara

Everyone knows and acknowledges that depression during college occurs. Statistics show that twenty-seven percent of college students had been diagnosed with depression and twenty-three percent said that depression impacted their academic performance negatively.  When it comes to post-grad students research shows that around twenty percent of student graduating experience depression. Post-grad depression is seen as situational depression. Situational depression is depression caused by a stressful or traumatic event. Post-Grad depression is caused by; pressure of finding a job, moving back in with parents, feeling a failure to launch, changes in friendships (friends scattering, not seeing them), student debt, comparison with friends and being overwhelmed by next steps and changes. Signs of post-grad depression are; lack of motivation, feeling worthless or guilty, loneliness, overwhelm (especially related to the next steps), feeling sad or down, isolation or wanting to isolate oneself, not enjoying activities that were previously enjoyed, poor sleep, appetite change, lower than usual frustration tolerance, feeling sluggish or super jittery and intense fear or expectation things will not go well in the future. Post-grad depression like any depression can really hinder your life so seeking help is suggested in order to properly cope with it. It is also suggested; avoiding comparing yourself with others, practice self-kindness and self-love, reach out to friends,  get some exercise/movement, don’t be too hard on yourself, recognize that transitions are difficult, find a support group/networking group, take care of yourself and confide in trusted family and friends. Depression is common when life is stressful and one feels pressure therefore, it is okay because always remember you are not alone.

If you or someone you know is struggling with their mental health, 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/

References

Post-Graduation Depression: Causes & How to Cope
College Student Mental Health Statistics

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9091131/

Toxic Relationships and their effects on Mental Health

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      Mental Health/ Toxic Relationships

By: Ingrid Guevara

A relationship where the behaviors of one person in the relationship are emotionally and, in some cases physically damaging to the other, is what is defined as a toxic relationship. In a toxic relationship you see behaviors like: constant belittlement, guilt-tripping, extreme jealousy, blaming and using manipulation to fulfill personal desires. Such behaviors take a tremendous toll on a person’s mental health. Toxic relationships lead to decline in self-esteem, energy levels and your overall happiness. Being in a toxic relationship creates feelings of insecurities and self -doubt which also leads the person to live in extreme caution while in the relationship. Realizing that a relationship is toxic is a crucial step in prioritizing and protecting your mental health. Then comes taking steps to setting boundaries, seeking support from loved ones or professionals and engaging in activities that bring you joy, all things that promote healing and personal growth. Always keep in mind that everyone deserves a nurturing and healthy relationship. It is okay to step away from relationships that negatively affect your mental health because your mental health is crucial and should always be put first.

If you or someone you know is struggling with their mental health, 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/

References:

https://primebehavioralhealth.com/how-toxic-relationships-affect-your-mental-health/#:~:text=Toxic%20relationships%20can%20severely%20affect,navigate%20the%20relationship%20with%20caution.

Binge Eating Disorder

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Binge Eating Disorder

By: Cosette Verna

Binge eating disorder (BED) is an eating disorder characterized by consuming extreme amounts of food and feeling unable to stop eating. This is different than overeating at a meal- BED is driven by a compulsion to continue eating and being unable to resist the urges, despite extreme fullness and cognitive awareness of overeating.

Behavioral symptoms of BED include (but are not limited to) feeling like eating behaviors are out of control, binging on unusually large amounts of food in a short time frame, eating despite feelings of fullness, eating in secret, deep feelings of shame, disgust, depression, and/or guilt surrounding eating, and eating rapidly during binges.

Emotional and behavioral signs of BED include (but are not limited to) frequent dieting, extreme concern around body weight, disruption in normal eating behaviors, frequent body checking (e.g., obsessively looking in the mirror to check appearance) the development of food rituals (e.g., using particular cutlery, excessive chewing), eating alone out of shame or embarrassment, and feelings of low self-esteem. Physical signs of BED include noticeable weight fluctuations, gastrointestinal pain, and difficulties concentrating.

If you or someone you know is struggling with binge eating disorder, 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/

References:

https://www.mayoclinic.org/diseases-conditions/binge-eating-disorder/symptoms-causes/syc-20353627

https://www.nationaleatingdisorders.org/learn/by-eating-disorder/bed