Anxiety: Generalized Anxiety Disorder

By: Gabriella Phillip

Anxiety is normal as we all worry from time to time about meeting deadlines for work or school, or being on time for a scheduled appointment. However, people with generalized anxiety disorder, or GAD, experience a chronic state of severe worry and tension, often without provocation. People with GAD aren’t usually able to shift their focus from their concerns, even though they are aware that much of their anxiety is unwarranted. These worries can include overthinking plans and solutions, inability to set aside or let go of a worry, or severe difficulty with handling uncertainty. People diagnosed with generalized anxiety disorder undergo persistent, excessive worry that occurs on more days than not for at least six months and show at least 3 symptoms of the disorder.

For patients with GAD, worrying is often accompanied by physical symptoms including headaches, irritability, muscle tension, difficulty sleeping or concentrating, sweating, hot flashes, and restlessness. Generalized anxiety disorder affects around 6.8 million American adults; women are twice as likely as men to be afflicted. Onset age of this disorder can occur at any point in one’s life, but usually begins between childhood and middle age. Generalized anxiety disorder can affect all areas of life including social life, school, work, and family. According to a national survey conducted by the Anxiety Disorders Association, 7 out of 10 people diagnosed with GAD noted that their persistent anxiety has a clear impact on their romantic relationships and two-thirds reported that that this disorder has had a negative effect on their friendships. Generalized anxiety disorders are the most common cause of workplace disability.

Treatment for GAD commonly includes medication, cognitive behavior therapy (CBT), talk therapy (psychotherapy), exposure therapy, and anxiety management; some of these treatments are used simultaneously. There is no single optimal treatment since what works for one patient might not be as effective for another patient. A combination of modalities is usually most effective.

If you or someone you know is struggling with Generalized Anxiety Disorder, Arista Counseling and Psychotherapy can help as we are able to provide a combination of treatments which have proven to be effective. 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. 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

Click to access July%2015%20GAD_adaa.pdf

https://www.psychologytoday.com/us/conditions/generalized-anxiety-disorder

 

Learning How to Face Rejection

rejection

By: Tamar Asayan

Everyone has experienced rejection whether it was not getting the job you wanted, your friends not inviting you somewhere and posting about it online, or even having someone not like you back. Rejection is the loss of something you may have once had or wanted. It is similar to abandonment because it leaves you feeling less than and unwanted. Unfortunately, rejection is something that cannot be avoided and it is a part of life that everyone will have to experience. No matter how small or big the rejection you experience is, it is always going to hurt you and leave an emotional wound. Not only does rejection cause emotional pain, but it also damages someone’s self-esteem and effects one’s mood resulting in frustration and anger. An article, “Why Rejection Hurts So Much-and What to do About it” states, “The same areas of our brain become activated when we experience rejection as when we experience physical pain. That’s why even small rejections hurt more than we think they should, because they elicit literal pain” (Winch). If you are feeling the pain of being rejected here are some ways to cope and overcome it in healthier ways.

  1. Acknowledge the pain and grief of loss
  • When you are rejected, you may feel embarrassed and don’t know how to exactly cope with it. You may repress your feelings and ignore the fact that you are in pain.
  • In order to accept rejection, you must accept the pain of what you are going through. Whether it is crying, going to therapy, exercising, or even journaling, it is important to relieve and express the emotions faced when being rejected.
  1. Don’t blame yourself
  • Most of the time you don’t understand why you have been rejected and naturally you place the blame on yourself.
  • The reason you believe you are at fault is because early in life you may have been taught to believe that you are not enough.
  • Do not take responsibility for what is out of your control.
  1. Put yourself out there
  • Rejection is part of the process which leads to success. Do not take it personally, it’s part of life.
  • Putting yourself out there can make you less sensitive to rejection; the more you are rejected the less it hurt us.
  1. Build your resiliency
  • To be resilient is to be able to recover or come back from a stressful or traumatizing event.
  • Resiliency can be learned by doing some of the following:
    • Having an open mind
    • Seeking solutions
    • Learning from an experience
    • Seeking support
    • Knowing your worth and strengths
    • Self-care

If you or someone you know is feeling rejected or dealing with rejection, call now to make an appointment to speak with one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists. Contact us at our Paramus, NJ (201) 368-3700 or Manhattan, NY offices at or (212) 722-1920 to set up an appointment. For more information, visit http://www.counselingpsychotherapynjny.com/.

Sources: https://psychcentral.com/blog/how-to-overcome-rejection-like-a-champ/

https://ideas.ted.com/why-rejection-hurts-so-much-and-what-to-do-about-it/

https://blogs.psychcentral.com/imperfect/2019/02/4-strategies-to-cope-with-the-pain-of rejection/

Image: https://www.dailymail.co.uk/femail/article-1327598/Why-rejection-good-you.html

Separation Anxiety Disorder (SAD) in Children

By: Tamar Asayan

School Phobia is now referred to Separation Anxiety. It can also be known as school refusal or school avoidance because it makes going to school very difficult for children. Separation Anxiety Disorder is when someone has excessive fear or anxiety about leaving their home or an attachment figure. In children, their attachment figure is usually their parents because they see them as a figure of protection and do not want to leave their side. Humans require an attachment to parental figures because they provide love, protection, and care to us. Children attach their deepest fears to their parents because they believe they can make any fear go away.

Children who have separation anxiety have a difficult time sleeping alone, going to school, avoiding play dates, and do anything to stay at home with their parents. They also experience symptoms of dizziness, upset stomach, nausea, vomiting, headaches, and have difficulty sleeping. These symptoms can lead to children not wanting to leave their house even more because the thought of a parent leaving can give symptoms of panic and anxious thoughts.

Separation Anxiety Disorder is more common in children who suffer from parents separating or going through a divorce. Any detachment from a parent is experienced as a life threatening danger to the child. They fear they no longer will be protected and will be left alone by their parents. These feelings of anxiety are relieved when they are safe in the presence of their parents to reassure them that they are not going anywhere. In order for children to overcome their separation anxiety and their fear to attend school it is important to seek help as early as they can.

The best method in treating Separation Anxiety Disorder is by Cognitive Behavioral Therapy (CBT); it helps parents and children learn new coping skills when they are separated from each other. It is also important to make your child feel safe and protected in the environment they are living in and develop trust in their parents that they are not going to leave them.

If you are a parent and are concerned about your child having separation anxiety call 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/

Source: https://www.psychologytoday.com/us/blog/inside-out-outside-in/201505/what-is-separation-anxiety 

Image: http://childcarephysicans.com/wp-content/uploads/2013/08/blide.jpeg

 

Listening: Three Ways to Become a Better Listener

listening

By: Tamar Asayan

All anyone ever wants is to be listened to when they are going through a difficult time in their life. An act as simple as listening can be the biggest help anyone can ask for. However, it can also be the hardest thing to do because listeners have a habit of relating issues back to themselves. The aim of listening is not to try to fix them or tell them what to do; instead it is to show them that you care and feel for them as they are struggling. Oftentimes, it is better to not relate issues back to yourself. People feel the need to be listened to because they want to make sure their thoughts are rational, and do not want to overthink. When we listen it reassures the person that we care and that they are not alone.

Three easy steps to becoming a better listener is to listen, understand, and respond appropriately.

  1. Listen
    • Pay attention to not only what the speaker is saying but body language as well.
    • Do not interrupt the speaker.
  2. Understand
    • This is the time to process everything the person has told you so you know how to respond appropriately.
    • Ask questions; the best types of questions to ask are open ended and reflective questions.
    • This allows the speaker to open up even more and explain what they are going through.
  3. Response
    • Address the speaker’s points.
    • Restate what they have told you.
    • Don’t complete the speaker’s sentences. This can come off rude, and interrupts your time to listen and for them to speak. Interrupting and assuming what the speaker is feeling will make them think you do not want to listen.

Sources:

https://blog.udemy.com/importance-of-listening/

https://psychcentral.com/blog/the-generosity-of-listening/

https://psychcentral.com/lib/become-a-better-listener-active-listening/

Image: http://throwthediceandplaynice.com/2017/12/listening-up-in-2018.html

If you or someone you know may be having trouble with communication speak with one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists. Contact us at our Paramus, NJ or Manhattan, NY offices at (201) 368-3700 or (212) 722-1920 respectively to set up an appointment. For more information, visit http://www.counselingpsychotherapynjny.com/.