Is an Emotional Support Animal Right for You

By Eleanor Kim

Pets have brought joy and comfort to pet owners for hundreds of years. The sheer presence of a happy-go-lucky dog or cat is enough to bring a smile to anyone’s face. The benefits of pet ownership can go beyond mere companionship or responsibility, in fact, emotional support animals are able to, as their name indicates, provide emotional support and other mental health benefits.

Common ways in which emotional support animals could support their owners are:

  • Fostering emotional connectivity
  • Helping people during times of crisis
  • Lowering anxiety
  • Offering trauma support
  • Improving physical health (Lower blood pressure, decrease respiration rates, improve ability to cope with pain, etc.)
  • Lowering feelings of loneliness or depression
  • Reciprocating feelings of love and care

It is important to indicate the difference between emotional support animals and service animals. Service animals also provide emotional support to their owners; however, service animals undergo intensive training to perform specific tasks necessary to aid their owners’ needs. In contrast, emotional support animals do not need formal training and simply need to receive a certification from the state registry. In order to qualify for an emotional service animal, individuals must acquire a prescription from a licensed mental health professional indicating that the presence of an emotional support animal is necessary for the mental health of the patient.

In a time when all of us are at home and may be in need of more emotional support, emotional support animals may provide the help you need. If you are interested in receiving emotional support, whether that be through a support animal or through a mental health professional, we here at Arista Counseling are here to assist you.

If you or someone you know is looking for emotional 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/.

References:

Everything You Need to Know About Emotional Support Animals

https://www.verywellmind.com/what-is-an-emotional-support-animal-4171479#definition

Picture Source:

https://figopetinsurance.com/blog/can-cats-dogs-live-together-peacefully

Impostor Syndrome

By Veronica Oquendo

Imagine a scenario, you have gained a promotion at your job, and you are now Vice President of your company. Furthermore, your bosses want to congratulate you with an office party, and plaque for your outstanding achievement that earned your promotion. When you are at your office party you have an overwhelming feeling that you do not deserve this promotion and recognition. You think that you are not intelligent enough to hold this new position. You put a lot of effort into your work, but not anymore than anyone else would, even though others recognize your high work ethic. Worst of all, you feel that the other employees will find out you are do not deserve it, be scrutinized for it, and eventually fail. This scenario is not an uncommon occurrence, where 25-30% of high achievers currently suffer the feelings of imposter syndrome, and 70% of adults have experienced it at one point in their lifetime. The highest populations that feel imposter syndrome are women of color. 

Reasons for imposter syndrome: 

  • High pressure to succeed
  • Perfectionism 
  • Mental Health Issues 

It is important to note that imposter syndrome is not an official diagnosis in the DSM, but is a feeling an often associated with success, even more so among those suffering from anxiety and depression.

If you or someone you know is struggling with imposter syndrome, 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.psychologytoday.com/us/basics/imposter-syndrome

https://www.apa.org/gradpsych/2013/11/fraud

Social Anxiety: Struggling to Reach Out

            It’s okay to want to be alone, but many people around the world resort to solidarity because they fear they’ll be judged by others in a social scene. Social anxiety disorder, or social phobia, is a mental illness categorized as a type of anxiety disorder that consists of an intense, persistent fear of being watched and/or judged by others. No matter what the situation is, if it involves other people, things become more challenging for them. It feels as though all eyes are on them and they’re terrified of making a spectacle of themselves in front of those around them, even friends and family. That’s why it tends to be a struggle for many sufferers of social anxiety to maintain any healthy relationships because they would rather push people away and avoid conversation than take the risk of feeling humiliated through judgment.

          The toll social anxiety has on some of its sufferers can lead to avoiding school and work as well as dropping many hobbies/activities all together because they’re simply too terrified to engage. In such instances, the disorder becomes a hindrance to everyday life because if they miss school and work, they’re losing out on education, money, and many other key things to sustain healthy living. Some signs that you may be suffering from social anxiety disorder are: when having to be around others; feeling nauseous or sick to your stomach, blushing, sweating or trembling, making little eye contact and speaking very softly, staying away from places where you see other people, etc. In this case, treatment comes in the form of psychotherapy, medication, or both. Cognitive behavioral therapy (CBT) is perhaps the most common form of treatment and teaches patients better ways of thinking and reacting to anxiety-inducing scenarios in order to best keep those unwanted emotions under control.

If you or someone you know is struggling with a mental illness, 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/index.shtml

Anxiety, Depression, Eating Disorders, ADHD, Et al: How to Support a Friend with Mental Illness

By: Sarah Cohen

When helping a friend with a mental illness, the first step should be assessment of their symptoms. Sometimes they just might be going through a difficult time, but if certain common symptoms associated with mental health issues persist it is imperative to respond sensitively. Majority of the time, friends will just want to know they have your support and that you care about them. A good way to show your support is by talking to them. If you provide a non-judgmental space for them to speak about their issues it will help encourage them to be open with their problems. Let them lead the conversation and don’t pressure them to reveal information. It can be incredibly difficult and painful to speak about these issues and they might not be ready to share everything. If you aren’t their therapist do not diagnose them or make assumptions about how they are feeling, just listen and show you understand. If someone doesn’t want to speak with you, don’t take it personally, just continue to show them you care about their wellbeing and want to help as much as possible. Just knowing they have support can give them the strength they need to contact someone who can help them.

If a friend is having a crisis, such as a panic attack or suicidal thoughts, you must stay calm. Try not to overwhelm them by asking a lot of questions and confronting them in a public setting. Ask them gently what would be helpful to them right now or reassure them. If they hurt themselves, get first aid as soon as possible. If someone is suicidal, contact the suicide hotline at 800-237-8255 immediately.

The best way to help someone is by connecting them to professional help. By expressing your concern and support you can show them that they can get help and their mental health problems can be treated.

If you or someone you know needs support with their mental illness, 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.mentalhealth.org.uk/publications/supporting-someone-mental-health-problem

https://www.mentalhealth.gov/talk/friends-family-members

Depression: How to Support a Spouse with Depression

Depression: How to Support a Spouse with Depression
By: Isabelle Siegel

Depression can cause immense pain and suffering for more than just the individual diagnosed. The partners/spouses of individuals with depression commonly report feeling hopeless and helpless, unsure how to provide necessary support to their partner/spouse. Attempts to help may be met with apathy or even anger, further complicating a seemingly simple question: How can I support my partner/spouse with depression?

Develop an understanding of depression and how it manifests in your partner/spouse. It can be helpful to research depression, taking note of its symptoms and causes. Understand that depression is an illness and not a choice. You may want to create a list of your partner’s/spouse’s particular symptoms and triggers for depressive episodes in order to better understand his/her experiences.

As simple as it sounds, just be there. Depression may have your partner/spouse doubting that you love him/her and may make him/her feel as though he/she is a burden to you. Assure your partner that you are there for him/her and that you love him/her despite his/her illness.

Encourage him/her to get help. Depressive symptoms can interfere with one’s motivation and ability to get help, so continuously encourage treatment. Help your partner/spouse find a therapist and/or psychiatrist, bring him/her to appointments, and cheer him/her on as they undergo treatment.

Do things you both enjoy. One important treatment step for depression is known as “opposite action,” in which individuals with depression act opposite to how they feel. If they feel like laying in bed all day, for example, they should get up and out of the house. As a partner/spouse, you can help by encouraging your partner/spouse to act opposite to their depressive urges by engaging in activities that you both enjoy.

Understand the warning signs of suicide. Individuals with depression are more vulnerable to suicide, so it may be important to know signs that your partner is considering taking his/her life. These may include talking about suicide, social withdrawal, giving away belongings, or obtaining means of attempting suicide. If you believe that your partner is at risk for suicide, seek immediate help.

Most importantly, take care of yourself and seek therapy. Research suggests that having a partner/spouse with depression increases one’s own risk of developing depressive symptoms. It is important to understand that your partner/spouse is not the only one who needs support. Never feel guilty for prioritizing your own needs, and consider seeking therapy or other support in order to take care of your own mental health.

If you or a loved one needs support, 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 http://www.counselingpsychotherapynjny.com/

Sources:
https://www.mentalhealth.org.uk/blog/supporting-partner-depression
https://www.medicalnewstoday.com/articles/325523
https://www.psycom.net/help-partner-deal-with-depression/

Image Source: https://www.rewire.org/support-partner-depression/

Anger Management during COVID-19

By: Elyse Ganss

According to the New York Times, domestic violence rates have surged during the era of the coronavirus pandemic. Domestic and family violence rates typically increase when families have more time to spend with one another, a time that is usually reserved for holidays. However, with stay-at-home orders occurring nationally, families have been spending more time together and consequently, violence rates have increased worldwide.

Violence occurs as a result of out of control anger. Anger is an emotion that occurs on a spectrum from irritation to rage. Aggressive, out-of-control responses due to anger lead to abusive actions. Dealing with angry feelings in a positive way is crucial to maintaining healthy relationships. Expressing anger in a calm manner such as having a controlled conversation with whoever you may be angry with is a constructive way to address anger. However, if anger is not dealt with it can lead to passive-aggressive behavior or having a hostile personality.

The Mayo Clinic recommends various tips for keeping anger under control. These tips include thinking before you speak, expressing anger in a calm way, getting exercise to reduce stress, practicing relaxation techniques and receiving help from mental health professionals.

If your anger levels are out of control, feel unavoidable, or if you are often enraged, seeking help for anger management may be the best course of action.

A mental health professional, whether it be a licensed psychologist, psychotherapist, clinical social worker, psychiatric nurse practitioner, or psychiatrist, will work with the patient to develop a new way of thinking and behaving when faced with situations that induce anger. Although anger may currently feel overwhelming, a professional can help work with you to reduce your anger and to help heal and restore your relationships.

If you or someone you know is looking for 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.nytimes.com/2020/04/06/world/coronavirus-domestic-violence

https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/anger-management/art-20045434

https://www.apa.org/topics/anger/control

Image Source: https://www.mindful.org/feeling-angry-try-this/

Depression: Difference between Unipolar and Bipolar Depression

By Gabriella Phillip

Eliciting a history of brief periods of improved mood is the key to differentiating between unipolar and bipolar depression. Bipolar spectrum disorders typically begin earlier in life than unipolar depression; the usual sign of bipolar disorder in young children could be depression and/or a combination of depression and states of mania/hypomania. It’s significant to ask the patient how old they were when they first experienced a depressive episode. Men have a higher rate of bipolar disorder than women, but the rates for unipolar depression in men and women are more equal.

Some patients with bipolar spectrum disorder can go from normal to severely depressed technically overnight whereas unipolar depressive episodes tend to occur more gradually. Patients with bipolar spectrum depression tend to experience weight gain and crave carbs, while those with unipolar depression usually experience weight loss or loss of appetite. Patients suffering from bipolar depression tend to show irregular responses to antidepressant monotherapy, including switching into mania. Bipolar spectrum disorder is an inheritable mental illness, so it’s vital to take family history into consideration. While patients diagnosed with unipolar depression usually note that their symptoms fluctuate in a more stable, regular pattern, those with bipolar depression have moods that can vary unpredictably, usually with no cause.

When treating bipolar depression, antidepressants are used in combination with some sort of mood stabilizer. Treatment for unipolar depression can include medication like SSRIs and antidepressants, often in combination with cognitive behavioral therapy (CBT) and psychotherapy. Screening instruments including the Bipolar Spectrum Diagnostic Scale and the Mood Disorders Questionnaire can be effective and helpful tools in differentiating unipolar from bipolar depression.

If you or someone you know is struggling with Bipolar Disorder or Unipolar Depression, Arista Counseling and Psychotherapy can help. 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.psychiatrictimes.com/special-reports/major-depressive-episode-it-bipolar-i-or-unipolar-depression

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2850601/

https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/unipolar-and-bipolar-depression-different-or-the-same/AE364DFBFFBAF1F66A9294A55120C64E/core-reader

 

 

Panic Attacks

Panic Attacks

By: Lauren Hernandez

Many people face anxiety on a daily basis. Panic attacks are an extreme form of anxiety that many people experience. Panic attacks are described as an immediate fear of dying, going crazy or losing control. People who experience panic attacks may feel intense fear despite no real danger. Attacks may last anywhere from about ten minutes to an hour or more. Panic attacks are categorized as either situational or unexpected. According to PsychologyToday, “situational panic attacks are triggered by a particular scenario while unexpected panic attacks seem as though they come out of nowhere.”  While general anxiety is the worry that bad things might happen in one’s life, panic attacks feel like a surge of imminent danger and often have physical symptoms.

Symptoms of panic attacks include:

  • Increased heart rate or palpitations
  • Sweating
  • Trembling or shaking
  • Shortness of breath or a feeling of being smothered
  • Choking sensations
  • Chest pain or discomfort
  • Nausea
  • Dizziness or lightheadedness
  • Feelings of unreality or being detached from oneself
  • Numbness or tingling sensations, particularly in the extremities or around the lips
  • Chills or hot flashes

Panic attacks are a terrifying experience; however, they are quite treatable and can be helped with a combination of therapy and medications. For people who experience situational panic attacks, it is best to leave the feared situation which will typically decrease anxiety and end the panic attack. For people who experience unexpected panic attacks, take note of where, when, and possibly why the panic attack began in order to analyze this occurrence further with a mental health professional. Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that is one of the most common methods of treating panic attacks and anxiety disorders. Additionally, medication such as Selective Serotonin Reuptake Inhibitors (SSRIs) can help relieve anxiety and prevent panic attacks. Immediate relief can be achieved when benzodiazepines such as Xanax and Klonopin are taken. These medications are potentially abusive so they must be used with caution. If you or someone you know is suffering from panic attacks or severe anxiety, contact a therapist, psychologist, or psychiatric nurse practitioner who can help.

If you or someone you know who may be suffering from panic attacks, 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/ .

 

Source: https://www.psychologytoday.com/us/blog/anxiety-help/201109/panic-attacks-what-they-are-and-how-stop-them-0

Image Source: https://www.google.com/search?biw=990&bih=595&tbm=isch&sa=1&ei=Q5wHXaiRELCE5wL-1K6gAg&q=anxiety&oq=anxiety&gs_l=img.3..0j0i67l3j0j0i67l2j0j0i67j0.33453.34341..34459…0.0..0.142.768.0j6……0….1..gws-wiz-img…….35i39.JBLUi8nw2og#imgrc=403Bvppt5PFdbM:

Self Esteem: Low Self Esteem and Comparison

Self Esteem: Low Self Esteem and Comparison

Self Esteem: Low Self Esteem and Comparison

By: Julia Keys

It is easy to fall into the trap of comparing ourselves to others. We compare ourselves to others so often that they rarely even notice it. A social psychologist named Leon Festinger first proposed the social comparison theory in 1954 stating that humans look to others in order to evaluate their own self-image. Comparison is a necessary part of human cognition. We need to compare things in order to make choices. For example, imagine you are choosing between two different new cars to buy. One must compare the different traits of each car in order to make a well-rounded decision. Unlike cars, humans have unique and complex sets of experiences and genes, so comparing yourself to others isn’t logical. Unfairly comparing yourself to others is an unhealthy habit that can lead to low self-esteem, feelings of anxiety, and feelings of depression. Everyone has compared themselves to someone else at some point, but some people seem unusually preoccupied with it.

Here are some reasons why certain people tend to compare themselves to others frequently:

  • They feel like they have a lack of control over their life
  • Low self-esteem, low self-confidence, or low self-worth
  • History of being compared to a family member
  • Lack of self-knowledge/self-reflective skills

Ways to stop comparing yourself to others:

  • Limit social media use and when using, seek connection, not comparison
  • Take note of how often you compare yourself to others and mentally tell yourself to stop
  • Keep a journal with your own goals, aspirations, and self-reflections. Many times, people become so attached to certain ideals that they adopt from others that they forget to develop their own ideals. For example, if a child was told by his mother all his life that he must pursue a certain profession, they may be ignoring other career paths that they want to pursue. It is important to self-reflect so one can align their goals and behaviors to the wants and needs of their true selves.
  • If you do compare yourself, try to compare yourself to someone/something that is just slightly out of reach and well defined. When comparisons are general, one can get stuck in a rut of constant unfair comparisons instead of taking action and being able to achieve specific goals. Additionally, comparing yourself to something that is so out of reach can be discouraging. For example, if a woman compares body to an Olympic athlete, she is not setting a defined goal in order to be more like the athlete. In this case, it would be more helpful for the woman to aspire to be like her active friend who walks every day and schedule daily walks so she can exercise more.
  • Practice gratitude for your mind, body, spirit, and relationships
  • Only compare yourself to yourself, which is also known as internal validation. Internal validation is beneficial to your well-being and self-esteem.

If you or someone you know is struggling with low self-esteem or confidence issues, 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://blogs.psychcentral.com/childhood-neglect/2019/05/5-reasons-you-compare-yourself-to-others-and-how-to-stop-it/

https://www.psychologytoday.com/us/articles/201711/the-comparison-trap

Source for Picture:

https://www.google.com/search?q=apples+and+oranges&source=lnms&tbm=isch&sa=X&ved=0ahUKEwjE6d6ButfiAhXypVkKHRElCIUQ_AUIECgB&biw=1280&bih=610#imgrc=aoygGAqHovpj6M:

Relationships: The Impact of Attachment Styles

Relationships: The Impact of Attachment Styles

Relationships: The Impact of Attachment Styles

By: Julia Keys

Did you know that the way one develops an attachment to their mother as an infant has a profound effect on their adult relationships? Attachment styles were first studied in detail by the developmental psychologist Mary Ainsworth in her experiment called “the strange situation”. In the strange situation, Ainsworth had a mother and a child play together for about three minutes and then the mother left the room. Next, a stranger would enter the room and play with the child for about three minutes and then they would leave. Finally, the child’s mother would re-enter the room and resume playing with their child. Ainsworth was most interested in observing the child’s behavior when their mother re-entered the room.

Upon careful examination, Ainsworth found three distinct patterns of behavior in infants when their mothers re-entered the room. If the child was upset, but then easily soothed by their mother upon re-entry, Ainsworth deemed them as having a secure attachment style. If the child was indifferent to their mother upon re-entry, Ainsworth would label them with an insecure avoidant attachment style. Finally, if the infant shows conflicting behavior upon the mother’s re-entry such as clinginess and then subsequent rejections of affection, Ainsworth would say they had an insecure ambivalent attachment style. Insecure ambivalent children are unpredictable in terms of their parental reactivity.

Ainsworth hypothesized that children’s reactions were a result of how their parents responded to their needs. Hypothetically, infants with secure attachment styles have their basic needs met consistently by their parents. This leads the secure infant to show a healthy dependence on their parents. Infants with an insecure avoidant attachment have their needs minimally met by their parents, which leads them to be independent and self-soothing. Infants with insecure ambivalent attachment styles have their needs met inconsistently from their caregivers, which results in confusion and conflicting behaviors.

So how does this “strange situation” relate to people later on in life? Researchers have found that attachment styles follow infants into adulthood and impact their behavior in relationships. While the behavior infants exhibited in the experiment relied on whether or not basic needs such as food, water, or comfort were met, attachments styles in adults tend to manifest themselves in more complicated ways.  Secure adults tend to have healthy and satisfying relationships where they can receive and offer support as needed.  Avoidant adults seek independence in relationships and oftentimes can appear a bit callous to their own emotions. Avoidant adults aren’t likely to offer support to their partners because they rarely depend on it themselves. Finally, ambivalent adults fear being either too close or too far from their partner, causing them to feel confused by their feelings and act in unpredictable ways in the relationship.

Although attachment styles are habits that people have probably been practicing subconsciously for all their lives, they are not permanent. Individual or couples therapy can help those struggling with their own emotions or communication skills.

If you or someone you know is struggling in a relationship, 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.simplypsychology.org/mary-ainsworth.html

https://www.psychologytoday.com/us/blog/compassion-matters/201307/how-your-attachment-style-impacts-your-relationship

Source for Picture:

https://www.bing.com/images/search?view=detailV2&id=DF3FB2F4C4A9AF591D1BF6EA44071E6C780F6937&thid=OIP.P_BQQ_87MEADJ_8AobvpHQHaE8&mediaurl=https%3A%2F%2Fcarehere.com%2Fwp-content%2Fuploads%2F2016%2F07%2Fcouple_walking.jpg&exph=1280&expw=1920&q=couple+on+a+walk&selectedindex=6&ajaxhist=0&vt=0&eim=1,2,6