Self-Harm: What You Need To Know

About 17% of all people will self-harm during their lifetime, however the actual rate is likely higher than this because of the shame and stigma that surrounds self-harm. Individuals self-harm as a way to deal with difficult feelings, or overwhelming situations and experiences, and can include cutting, burning, and scratching oneself. Self-harm can be difficult to understand, and can sometimes be confused with suicide attempts. Self-harm and suicide attempts are not the same thing, however, there is a strong association between the two. One common stereotype of self-harm is that it is “attention seeking”. The reality is that most self-harm is done in secrecy, and individuals often feel ashamed to ask for help.

There are several self-harm risk factors. These include struggling with mental health conditions, such as depression, anxiety, personality disorders, drug and alcohol use or addiction, and eating disorders. Self-harming can become physically addictive, as it is habit-forming, and individuals can come to rely on it as a coping mechanism for what they are going through.

Sharing your feelings with someone that you trust can help you self-harm less and feel less alone. If someone has disclosed to you that they engage in self-harm, it is important to be patient and educate yourself on why people self-harm and what you can do to help.

If you or someone you know is struggling with self-harm, please contact our psychotherapy/psychiatry 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.mind.org.uk/information-support/types-of-mental-health-problems/self-harm/about-self-harm/

https://www.therecoveryvillage.com/mental-health/self-harm/self-harm-statistics/

https://www.rethink.org/advice-and-information/about-mental-illness/learn-more-about-symptoms/self-harm/

Image Source

https://rcni.com/nursing-children-and-young-people/careers/research-and-commentary/improving-nursing-care-of-children-and-young-people-who-self-harm-81661

Vaping’s Tie to Mental Health

Vaping’s Tie to Mental Health

By: Jaylyn Senise

Vaping has become a recent craze, specifically within the teenage populations.   It has become more popular than even tobacco and marijuana. These vaping devices come in a range of different sizes and shapes, and the most popular of vapes include JUUL and different types of hookahs. Despite the admiration, vaping comes with a plethora of potential risks. The majority of these risks involve physical attributes such as lung disorders and general wellbeing. Oftentimes, this is all that is noticed, while the mental health detriments that become present with vaping are overlooked.

Vaping devices contain nicotine which alters the brain pathway. The synapses, which are the brain cells connections, become formed abnormally due to the nicotine. According to an article written on the National Institute of Health (NIH) website, synaptic dysfunction has been found to be a “casual factor for neuropsychiatric diseases.”   In addition, because the nicotine content of vaping devices is significantly higher than the typical combustible cigarettes, it becomes easier to generate dependence on it.  Dependence to vaping has been found to be associated with impulsivity, mood disorders, anxiety, suicidality and depression; the effect is even higher with adolescent teens.  These devices also have long term effects on mental health. For those with mental health disorders, vaping can exacerbate them due to the interruption of the cerebral dopamine pathway. In turn, this heightens the depressive symptoms.

Those who want to quit vaping should ask a healthcare professional for assistance. To manage nicotine withdrawal, the individual should build a quit plan to better organize and maintain a system, stay hydrated, get a consistent sleep schedule, and try to get support from friends and family. This will help keep the individual accountable. Quitting vaping may seem like a long and laborious process, but the negative health consequences that vaping incurs make the issue urgent.

If you or someone you know is struggling with a nicotine 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.webmd.com/connect-to-care/vaping/what-is-vaping

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5793422/

https://blogs.bcm.edu/2021/05/06/vaping-and-mental-health-whats-the-connection/

https://teen.smokefree.gov/quit-vaping/vaping-addiction-nicotine-withdrawal

Image Source

https://www.google.com/url?sa=i&url=https%3A%2F%2Fwww.slingshothealth.com%2Fblog%2F2019%2F04%2F02%2Fis-vaping-worse-than-smoking-the-facts-may-surprise-you%2F&psig=AOvVaw2ZjdYeeLqUE7KTb6ktmgBF&ust=1625928050216000&source=images&cd=vfe&ved=0CAoQjRxqFwoTCPjKt5ec1vECFQAAAAAdAAAAABAD

Neurotic Perfectionism and Dance

By Katie Weinstein

Dancing is proven to lower rates of anxiety and depression as well as increase self-confidence and provide opportunities for social interaction. However, the competitive dance field creates an environment that promotes neurotic perfectionism, causing dancers to lose their love for dance. While perfectionism is what enables dancers to strive towards meeting their goals and working hard, neurotic perfectionism is when people set unreasonable expectations for themselves and feel shame when they do not achieve their goal. Neurotic perfectionism can lead to disordered eating, anxiety, substance abuse and depression.

Dancers feel that there is no excuse for not landing the part or not getting attention from their teacher besides lack of effort, so dancers spend hours perfecting their mistakes and comparing themselves to others in the mirror, fostering an incredibly competitive environment and causing dancers to become overly critical of their bodies and skills. Instead of focusing on the positive and creating opportunities from mistakes, dancers expect every movement to be perfect and are overly self-critical when this isn’t the case. Additionally, dancers compete with other people for their next paycheck, so they end up setting super high expectations that are nearly impossible to achieve, wishing they could get their leg up higher or look thinner than everyone else in the room. They often think that if they are not casted, they might not be able to afford to pay rent or buy groceries. Dancers end up pushing themselves too far, and often end up with insomnia from nervousness and injured because of burnout. This can even lead dancers to self-medicate so that their injuries are off the record, leading to substance abuse.

Some signs of neurotic perfectionism include setting unrealistic expectations, feeling shame or guilt and overemphasizing the final product, but underemphasizing the process. It is important to change your thought patterns so that you are not overly critical and can set realistic goals for yourself.

If you or someone you know is experiencing neurotic perfectionism, 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/talking-about-trauma/202101/competitive-dancers-risk-neurotic-perfectionism

https://www.dancespirit.com/perfectionism_101-2326036484.html

Increased Drug and Alcohol Use during the Stay at Home Order

By Eleanor Kim

The Coronavirus pandemic has left the whole world isolated with very little to do aside from school or work. As the stay at home orders continue, individuals have been forced to find other means of coping or simply passing the time. Some individuals have found coping mechanisms that have ignited newfound purpose during such bleak times; however, others have embarked on less than beneficial pastimes, turning to drugs and alcohol as a means of “getting through” the pandemic. Cases of substance use disorder, or SUD, have skyrocketed since the official declaration of the COVID-19 pandemic with cases of patients who have experienced overdoses and other complications related to substance abuse increasing as well. In a recent survey conducted by the Center for Disease Control and Prevention, 13.3% of respondents stated that they have either started or increased substance use in order to cope with the stress and emotions caused by COVID-19 and the subsequent national emergency. With the world in such an unstable and worrisome state, it is not surprising to see individuals seek comfort in any way that they can, especially as those individuals face new and or preexisting stressors and anxieties through isolation.

As the pandemic continues, the surging mental health and substance abuse epidemics have shown to go hand in hand with one another. In fact, throughout the pandemic, there has been a 62% increase in worry, a 51% increase in sadness, a 51% increase in fear, and a 42% increase in loneliness. It was also revealed that within the past year, there has been a 32% increase for non-prescribed fentanyl, a 20% increase for methamphetamine, a 12.5% increase for heroine, a 10% increase for cocaine, as well as an 18% increase in suspected drug overdoses. These increases have not gone unnoticed. Those that already struggled with substance abuse or other mental health disorders have found stay at home orders increasingly difficult given the limited access to their usual treatment and support groups. Those who wish to begin receiving professional help with their substance use have had harder times finding adequate care given the decrease in in- and out-patient support and treatment over the past year. These limitations have fed into the increases in mental health struggles and SUD cases, leaving those who have been affected feeling desperate and out of control.

Substance abuse is not the answer to these difficult and isolating times. There is still hope for those who wish to seek other, more benevolent means of coping with the pandemic and for those who wish to begin treatment for their substance use disorder. Telehealth is one way that individuals with SUD, or other destructive coping mechanisms, can begin receiving professional help and therapy. Counselors and therapists are available to talk with you or anyone you know who may be dealing with substance use disorders during this time.

If you or someone you know is struggling with substance abuse, 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/.

Resources:

https://www.drugabuse.gov/about-nida/noras-blog/2020/09/addressing-unique-challenges-covid-19-people-in-recovery

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219362/

https://www.ehstoday.com/covid19/article/21139889/drug-abuse-on-the-rise-because-of-the-coronavirus

https://www.cdc.gov/mmwr/volumes/69/wr/mm6932a1.htm

Image Source:

https://www.nbcnews.com/feature/nbc-out/covid-crisis-exacerbating-lgbtq-alcohol-abuse-studies-find-n1257008

Drug Abuse During Covid-19

By: Catherine Cain

The stress and uncertainty Covid-19 brings is especially dangerous to those who abuse drugs or alcohol. The increased stress, mass layoffs and unemployment, and social distancing restrictions have caused a major uptick in the number of people who self-reported drug use over the last six months. Relying on these substances to make it through a day is not only detrimental to your mental health, but puts undue stress on your body’s immune system, ultimately weakening your ability to fight off infections and viruses.

Those who smoke or vape, whether marijuana or tobacco, are at a higher risk for contracting Covid-19 and may experience severe symptoms. Smoking and vaping lead to lung damage, as does Covid-19, which is why it is especially important not to let your addiction go unchecked.

Addiction may be hard to overcome, but it is not impossible. Covid-19 creates an environment where your addiction can progress quickly, because of the reduced social interactions and prolonged periods of isolation.

Here are some ways to help combat your addiction:

Contact a medical provider immediately.

Ask about medication to combat cravings.

Include your family/friends, so you have someone to hold you accountable.

If you or someone you know is struggling with 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://medicine.umich.edu/dept/psychiatry/michigan-psychiatry-resources-covid-19/specific-mental-health-conditions/addiction-substance-use-recovery-during-covid-19-pandemic

https://www.forbes.com/sites/lipiroy/2020/03/16/addiction-treatment-facilities-are-they-prepared-for-covid-19/#3bf8b57044ea

Addiction: How to Support a Spouse with Addiction

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

One hallmark sign of addiction is continued substance use despite interference with one’s interpersonal relationships. Addiction can take an immense toll on romantic relationships in particular, causing pain and suffering for both parties. The partners/spouses of people with addiction may feel as though they are helpless, unable to provide the support that is needed. However, there are steps that partners/spouses can take to support their partner/spouse and themselves.

Develop an understanding of addiction and how it manifests in your partner/spouse. Research “Substance Use Disorder” and its symptoms, taking note of which symptoms apply to your partner/spouse. It may be helpful to create a list of warning signs that your partner/spouse is using substances, as well as to learn what to do in the case of an overdose.

Support, but avoid enabling. Enabling entails making excuses for your partner’s/spouse’s addictive behavior, communicating to them that such behavior is acceptable and can be continued. Instead, stress the necessity of change while also practicing devotion and love.

Establish boundaries for your relationship. Many professionals suggest establishing a set of boundaries that must be respected. For example, you may want to tell your partner/spouse that he/she cannot use substances while in the house.

Be honest with your partner/spouse. Tell your partner/spouse how his/her behavior makes you feel. If your partner’s/spouse’s behavior is hurting you, tell him/her. It is normal to feel uncomfortable during these conversations, but they are important and even necessary for change.

Most importantly, take care of yourself and seek therapy. Understand that your partner/spouse is not the only one who needs support and never feel guilty for prioritizing your own needs. If you feel that the relationship is putting your physical or mental health at risk, it may be necessary to end the relationship. It can be beneficial to seek therapy or other support in order to take care of your own mental health and to work through difficult emotions.

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/

COVID-19: Addiction and Relapse

By: Elyse Ganss

It is currently unclear how COVID-19 will affect addiction. As a result of the nature of the coronavirus and its’ effect on the lungs, people who smoke tobacco, marijuana, or vape are at an increased risk for getting the virus. Besides an increased risk for getting the virus, people who suffer from addiction may be negatively affected in other ways as well.

 Isolation can have negative effects on people who suffer from substance abuse, particularly for those who are in recovery. Isolation can trigger anxiety and depression and without proper coping skills, this can trigger relapse.

Social distancing has put a stop to people attending peer-support groups in person, which are typically very beneficial for people who are recovering from addiction. While there are online support groups, it is unknown how many people will utilize them. Similarly, while family support is still available through phone calls and texts, it is no longer available in person. These changes have the possibility to increase levels of addiction.

In some states, access to critical medications, like methadone and buprenophrine that allow addicts to wean off of opioids, have been severely regulated and almost stalled. This could increase self-medication of drugs and alcohol and cause drug overdoses to occur. Receiving treatment, like teletherapy, with a licensed mental health professional to discuss a treatment plan, coping strategies, and what your support network looks like could be extremely beneficial for those who are recovering or currently struggling with addiction.

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.drugabuse.gov/about-nida/noras-blog/2020/04/covid-19-potential-implications-individuals-substance-use-disorders

https://www.psychologytoday.com/us/blog/healing-addiction/202003/coronavirus-and-addiction

https://www.healthaffairs.org/do/10.1377/hblog20200407.290720/full/

Image Source:

https://www.healthline.com/health/addiction/alcohol

The Opioid Epidemic and Drug-Seeking Behavior

The Opioid Epidemic and Drug-Seeking Behavior

By Crystal Tsui

AMA Journal of Ethics states there has been a 300% increase in opiates in the US. What does this mean for the people? Well, drug availability increases when the demands for opiates increase. Long story short, patients with complaints of pain are getting addicted to opiates and are relying on opiates as pain medication when it’s not entirely necessary. Doctors and nurses in the Emergency department are in the frontlines of this epidemic. They see patients with all sorts of complaints, but over 500,000 ED visits are patients with drug-seeking behavior, specifically for opiates. Different types of opiates include:

  • Heroin
  • Oxycodone
  • Percocet
  • Morphine
  • Tramadol

How did the epidemic begin? Doctors and nurses would prescribe their patients opiates just to improve the flow of the ED. However, recently the epidemic has gotten worse. Patients have learned different catch phrases and to over exaggerate their pain to get these opiates. Such as “headaches”, “back pains”, “neck pain”, and even “dental pain”, or rate their pain higher on the scale of 10.

So, how do doctors and nurses know when to give opiates for patients complaining of pain? The answer to the tough question is quite simple, they don’t. Opiates are always a last resort and there are other pain medications out there that treat everyday pain. The most common are:

  • ibuprofen (motrin)
  • acetaminophen (Tylenol)
  • aspirin (advil)
  • steroids

If you or someone you know is addicted to opiates do not be afraid to reach out for help with pain management or drug addiction.

If you or someone you know a drug 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/ .

Citation:

https://humantraffickingsearch.org/wp-content/uploads/2018/05/1140-pill-usa-opioids-aarp.imgcache.rev5b2d008604b6e9d3635709395bae1267.jpg

https://www.asahq.org/whensecondscount/pain-management/non-opioid-treatment/

https://journalofethics.ama-assn.org/article/drug-seeking-or-pain-crisis-responsible-prescribing-opioids-emergency-department/2013-05

https://americanaddictioncenters.org/the-big-list-of-narcotic-drugs