Anxiety: First Day of College as a Freshman

Anxiety: First Day of College as a Freshman

By Colleen Susanto

Feeling anxious about college is a universal experience. Especially, when someone has just graduated from high school and is starting college. It’s a huge transition for everybody. College is the time where you find yourself and experience the adult life. So, what makes us so anxious about college and how can we overcome it?

Being in a new community can be really intimidating. Trying to fit in and making new friends. Not being able to be with your old friends from high school can make you feel separated. However, one way to avoid that feeling is to socialize. Many colleges offer programs and events and that way, you can meet new people and make friends!

The stress of keeping up with academic expectations can also be very overwhelming. College classes tend to be more work than high school and can feel overwhelming when you are not organized. What you could do is to write down the assignments, deadlines, and exams. Then, you’d feel more organized and plan ahead.

Last but not least, being away from home. First time in college is usually the first time a student is away from their family. They have to carry huge responsibilities, such as financial, independence, time management, and much more. These can be very overwhelming for first timers. You could always contact your family through texts and calls, and stay connected with them. Try talking out your problems with your family or people you know to take some of the burden off you.

If you or someone you know is struggling with 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 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 https://www.counselingpsychotherapynjny.com/

https://truetherapyaz.com/managing-stress-overwhelm-for-first-time-college-students/

Gun Violence: The Impact on Students Mental Health

Gun Violence: The Impact on Students Mental Health

By: Francesca Warner

As schools reopen their doors for the 2025-2026 school year, the looming fear of gun violence lingers in the back of students, teachers, and administrator’s minds. The fear is very rational, as only recently young students lost their lives in an environment where safety is prioritized. This tragedy took place on Wednesday, August 27th, at a Minnesota Catholic School during back-to-school mass. Due to the increase in the amount of gun violence threats to schools in the past several years, a major cause for concern lies in the question; what is this doing to students’ mental health and wellness?

Authors at kff.org state that “Exposure to gun violence is linked to post-traumatic stress disorder and anxiety in addition to other mental health concerns” (Panchal & Zitter, 2025, para. 16). The idea that school is a safe haven for learning, friendship, and personal growth is ripped away and replaced with trauma and the burden that comes with it. The severity of violence that automatic weapons can produce is too much for young minds to process, and that lack of processing can impact a healthy mind fiercely.

To support these students who are either dealing with gun violence trauma or fear of gun violence overall, loved ones/family members can:

  • Be a supportive and judgement free listener
  • Encourage those effected to reach out to professionals
  • Respect boundaries and personal healing processes

SOURCE: The Impact of Gun Violence on Children and Adolescents

If you or someone you know is struggling with 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 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 https://aristapsychiatrypsychotherapy.com/

Test Anxiety: How to Relieve That Stress

Test Anxiety: How to Relieve That Stress

By: Maya Gallo

We all know exams can be nerve-wracking, especially when it comes to midterms and finals. Before we get a break, we have an overload of stress that can be overwhelming. You may ask yourself: “How can I be properly prepared for my exams while also staying calm?” Below is a list of tips to help you!

  1. Get organized: Take thorough notes. Make sure you have a calendar with all important dates coming up. Manage your time well so you know how much you can do each day.
  2. Game plan: Have a set time each day tucked away for studying. This way, you will feel better and more prepared for upcoming exams, even if you don’t have any assignments due.
  3. “Me” time: Take time out of your day to do something that you enjoy. Whether this be going for a walk, going to the gym, or listening to music, you deserve a break. You do not want all the studying to stress you out even more.
  4. Take care of your body: You come first. Make healthy choices, food is our fuel. Get plenty of sleep and listen to your body. It is the only one you have!
  5. Be creative: If you have friends in your class, consider calling them to see if they’d like to meet somewhere (like a coffee shop) and study together. Get creative with it, but have fun!

Hope this puts your mind at ease when it gets to that point in the semester. Be sure to use these tips to alleviate your stress. Good luck!

If you or someone you know is struggling with 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 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 https://www.counselingpsychotherapynjny.com/

References

Dealing with Exam Stress. (2025). Psychology Today. https://www.psychologytoday.com/us/blog/teen-angst/201405/dealing-exam-stress

ADHD – How to Be Less Overwhelmed

ADHD – How to Be Less Overwhelmed

By: Angy Farhat

ADHD overwhelm often arises when the brain finds it challenging to handle excessive information, numerous tasks, or overwhelming environmental stimuli. This situation is linked to various executive functioning difficulties, such as issues with planning, starting tasks, organizing, prioritizing, managing time, and regulating emotions. Additional factors like sensory overload, frequent task-switching, procrastination, perfectionism, and sleep difficulties can further contribute to this feeling of overwhelm.

When the ADHD brain becomes overstressed, it may react by either shutting down, becoming hyperactive, or spiraling out—much like the body’s response during fight, flight, or freeze situations. Your mind is attempting to cope with the influx of information while trying to process ongoing events. This reaction can manifest in different ways, such as withdrawing, becoming distracted, or feeling irritable. Ultimately, it’s your brain signaling that it has reached its limit.

Experiencing high-stress levels can push you into this uncomfortable state, and it’s important to recognize when that happens. To help reduce overwhelm, we can start by focusing on lowering your stress levels. Stress often stems from feeling overwhelmed or overloaded. Take a moment to examine how much time you spend scrolling through social media, getting distracted by notifications on your devices, or scrambling to meet deadlines. If you’re looking to reduce that overwhelming stress, it’s essential to slow down, identify the areas where you feel most pressured, and make necessary adjustments.

1. Focus on one task at a time: When we multitask, we stress our brains and exhaust ourselves. Multitasking doesn’t really exist in the brain. Instead, opt for single-tasking as often as possible. You may not be able to eliminate all media multitasking habits but, with single-tasking, you’ll feel more productive and less stressed. Plus, you’ll be able to perform better on what you’re doing.

2. Let Go of Perfection: Striving for perfection is an impossible goal that can lead to unnecessary pressure. It’s important to recognize that nobody is perfect. If you’re interested in self-improvement, consider narrowing your focus to one aspect of yourself that you would like to enhance rather than creating an overwhelming list of changes. Think about areas in your life, whether it’s your morning routine, keeping commitments, or meeting project deadlines, where you’d like to experience greater ease. Approach this process with self-compassion, reminding yourself that progress isn’t always linear—two steps forward and one step back still means you’re moving ahead.

3. Prioritize one self-soothing activity per day: It doesn’t matter what this is. What is important is that you create a list of things that help you fill your bucket and feel calm. Repeated stress and ADHD overwhelm wear you down. So, practice self-care in some way each day. Have a quiet cup of tea, a workout at the gym, a walk around the block, and a short meditation. Make a list of 5-10 things that make you feel good and feel grounded. Exercise is very helpful for doing this.

4. Nurture connections: Spending time with people who love and accept you naturally reduces stress. Laughter, lively conversations, sharing fun activities, and feeling supported increase your happy neurochemicals. Plus, when you engage with others, you are more likely to stop thinking about the stressors in your life and pay attention to what’s happening around you. You give yourself a lift and a healthy distraction at the same time.

5. Set realistic expectations for yourself: Instead of concentrating on goals based on compare and despair, use your internal compass to assess how you are doing and what you want. Consider what you can actually handle versus what you think you should do. Rule out items that seem unrealistic or vague; make things as specific as possible. Being more organized is a great goal, but it isn’t precise enough to lead you to do anything differently. Whereas being more organized with your bills, homework, or work presentations are all more exact and will likely result in more success.

If you or someone you love is struggling with ADHD, 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 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/. 

References:

American Psychological Association. (n.d.). ADHD. American Psychological Association. https://www.apa.org/topics/adhd

American Psychological Association. (n.d.). An ADHD diagnosis in adulthood comes with challenges and benefits. Monitor on Psychology. https://www.apa.org/monitor/2023/03/adult-adhd-diagnosis

Beyond BookSmart. (2024, April 24). ADHD overwhelm: Why it happens & how to control it. Beyond BookSmart: ADHD & Executive Function Coaching Online. https://www.beyondbooksmart.com/executive-functioning-strategies-blog/adhd-overwhelm-why-it-happens-how-to-control-it

Depression: Impacts on College Students

Depression: Impacts on College Students

By: Maria Koutsothanasis

College is where many students are excited about independence, opportunities, and new experiences. Some students may experience challenges with change and experience feelings of depression. Balancing academics, social life, and financial difficulties can bring anxiety onto a student. These challenges can significantly impact mental health and lead to depression. Depression not only affects a student’s emotional well-being but disrupts all other aspects of their life.

The Impacts

  1. Academic Struggles

      Depression can disrupt a student’s ability to focus, retain important information, and meet deadlines for assignments. Symptoms such as fatigue, lack of motivation, difficulty concentrating, and hopelessness can lead to poor attendance and a decline in grades. Without the proper environment and support, depression can consume a student’s daily life and cause academic struggles.

      2. Social Isolation

        Depression can impair a student’s social life and cause them to lose the strong support systems they previously had. The withdrawal from social interactions can worsen symptoms of depression and lead students to feel alone. Depression can consume a student, making it difficult to get out of bed and engage in social activities that other students would enjoy.

        3. Long Term Consequences

        Without the proper support, environment, and treatment, depression can cause long-term effects. Academically, depression can lead students to fail courses and drop out of school which can impact the opportunities that are presented to students in the future. Untreated depression can lead to long-term physical health issues such as heart disease, chronic stress, and unhealthy coping mechanisms.

        Coping and Support

        1. Utilize Campus Resources

          Many colleges offer a wide range of support systems to help students cope with their depression. Counseling services, support groups, clubs, and mental health and wellness workshops are resources that can support students during difficult times.

          2. Establish Healthy Habits

          A routine such as regular exercise, a balanced diet, and consistent sleep can improve mood and energy levels. Incorporating mindfulness is a way to reduce anxiety and depressive symptoms. Students can use creative tasks and different outlets students can use to reduce stress and enhance their emotional well-being.

          3. Build support

          Building a strong support system and a positive environment is a way to decrease feelings and symptoms of depression. Reaching out to people who will provide you with the support you need is important. Staying connected with friends and family provides emotional support and stability.

          Depression among college students is an issue that needs awareness and actions to reduce stigma. By prioritizing mental health students can overcome mental health challenges that are constantly experienced. By accessing resources provided by colleges, establishing healthy habits and regular routines, and building a strong support system, students can develop resilience and improve their mental health.

          If you or someone you know is struggling with depression or other mental health 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 & Psychiatric Services. 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/

          Kristen Bowe, A. (2023, August 22). College students and Depression. Mayo Clinic Health System. https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/college-students-and-depression

          Luo, M.-M., Hao, M., Li, X.-H., Liao, J., Wu, C.-M., & Wang, Q. (2024, January 25). Prevalence of depressive tendencies among college students and the influence of attributional styles on depressive tendencies in the post-pandemic era. Frontiers in public health. https://pmc.ncbi.nlm.nih.gov/articles/PMC10850216/

          WebMD. (n.d.). How common is depression among college students?. WebMD. https://www.webmd.com/depression/what-to-know-about-depression-in-college-students

          ADHD in Women and Girls                                         

          By: Nicole Sanchez

          ADHD In Women and Girls  By: Nicole Sanchez

          Attention-deficit/hyperactivity disorder (ADHD) is considered a chronic disorder and is known to impact the individual in many aspects of their life including interpersonal relationships, academic and professional achievements, and daily functioning. Symptoms of ADHD include inattention, hyperactivity and impulsivity. ADHD can lead to lowered self-esteem and social function in children when not appropriately treated. Adults with ADHD may experience poor self-worth, sensitivity towards criticism, and increased self-criticism possibly stemming from higher levels of criticism throughout life.

          Women and girls experience the same general symptoms as boys and men, but the way they express the symptoms can appear different. This difference in expression has historically been one of the reasons girls and women are underdiagnosed. Often when diagnosing, clinicians look for the male model of ADHD symptoms that focuses on impulsiveness. It is important to note that girls and women often demonstrate symptoms of inattention, overly sociable behavior, forgetfulness, talkativeness, or even difficulties with time management.

          Cognitive behavioral therapy (CBT) is a talking therapy that is able to help individuals struggling with ADHD manage their problems by changing the way they think and behave. This treatment tries to reconstruct how someone feels about a situation, which would in turn potentially change their behavior and mitigate these ADHD symptoms. Often the therapist works with the parent of an ADHd child to help them improve his or her behavior.

          If you or someone you know is having mental health difficulties and/ or experiencing symptoms of ADHD, please contact our psychotherapy offices in New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our offices at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

          https://www.columbiadoctors.org/news/adhd-different-women

          https://www.webmd.com/add-adhd/ss/slideshow-adhd-women-girls

          Anxiety: Going Back to School during a Pandemic

          By Mizuki Wada

          You know it’s time to get ready for school or work when you see the pumpkin displays and school supplies in stores. However, with the global pandemic going on this year there is far more tension and nervousness besides the first day jitters. From parents sending their kids, faculty going back to classrooms or students getting ready for in-person sessions, many of those could be feeling high pressure and anxiety. However, here are a few ways that could help you steer clear from overwhelming anxiousness.

          • Acknowledge– It is crucial to acknowledge your feelings and stress. Understanding the reason why you’re feeling a certain way is the key to finding a solution.
          • Attitude– Try to look at the big picture and find some positive factors of returning to school. Only looking at the negative aspects can cause the situation to be a lot scarier than it actually is.
          • Support– Find a support group! Whether it be your family or friends, having people that would listen to you talk is very beneficial. Try talking about how you’re feeling to those who understand you.
          • Knowledge– Educate yourself on the situation. People can tell you one thing, but are they really true? Limit your news intake and check whether these sources are trustworthy or not. There’s a difference between educating yourself and filling yourself with information.
          • Physical Health– Although it may sound irrelevant, mental health and physical health go hand in hand. Even if it’s a simple walk or a yoga session, moving your body physically can help alleviate stress. It’s important to keep a healthy body for a healthy mind.

          If you or someone you know is struggling with Anxiety or any other mental illnesses, 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:

          https://www.psychologytoday.com/us/blog/beyond-the-doubt/202003/respond-instead-react-managing-covid-19-anxiety

          https://www.realsimple.com/health/mind-mood/stress/manage-back-to-school-stress-coronavirus

          Shyness and Introversion

          Shyness and Introversion

          By Crystal Tsui

          We all know someone who prefers to stay in rather than go out and party or someone who barely talk in a group setting. We may call them shy, quiet, or maybe socially awkward. But they may just be an introvert. Introversion and shyness are often times used together. However, shyness revolves around the fear of negative judgment while introversion is the preference for quiet, minimally stimulating environments. So it is possible for a person to be a shy extrovert, where the individual is afraid to speak up, fearing negative judgment, more so than exhausted in a certain social situation.

          Despite the difference, there is also an overlap between shyness and introversion, e.i. many shy people are introverted. Some people are born with “high-reactive” temperaments that predispose them to both shyness and introversion. A shy person may become more introverted over time, motivated to discover the pleasures of solitude, other minimally stimulating social environments, and to move away from judgments. On the other hand, an introvert may become shy after continually receiving the message that there’s something wrong with them.

          There’s a shared bias in our society against both shyness and introversion. Neither trait is welcomed in our society because studies have shown that we rank the fast and frequent talkers as more competent, likeable, and even smarter than slow and quiet talkers.

          Here are 5 ways introverts can spend time that is deeply fulfilling and socially connected:

          1. Reading. Books transcend time and place. Studies have shown that reading fiction increases empathy and social skills.
          2. Enter a state of “flow” by doing work or a hobby that you love. Flow is the transcendent state of being, in which you feel totally engaged in an activity. People in flow don’t tend to wear the broad smiles of enthusiasm. When you watch them in action, the words “joy” and “excitement” don’t come to mind. But the words “engagement,” “absorption,” and “curiosity” do.
          3. Keep an informal quota system of how many times per week/month/year you plan to go out to social events and how often you get to stay home. This way you can plan which parties or get-togethers you can truly enjoy and which you don’t. So you are less likely to drive yourself mad thinking you should’ve stayed home.
          4. Have meaningful conversations.
          5. Spend time and show affection to the ones you love, whose company is so dear and comfortable that you feel neither over-stimulated nor anxious in their presence.

          If you or someone you know is dealing with social anxiety or suffering from a disruption of their social life, 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.quietrev.com/wp-content/uploads/2015/05/QR_ebookMay8-2015.pdf

          https://www.nytimes.com/2012/01/15/opinion/sunday/the-rise-of-the-new-groupthink.html?_r=0

          https://live.staticflickr.com/627/21427437162_910d54e08e_b.jpg