health

Anxiety: Identifying and Coping With Triggers in the New Year

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The Unseen Struggle: Understanding and Managing High-Functioning Anxiety

By: Seunghee (Sunny) Rhew

It’s New Year’s Eve. You’re frantically scribbling last-minute resolutions on a scrap of paper, hoping that somehow the clock striking midnight will transform you into a brand-new person with a clean slate. But as you write these big, ambitious goals, a familiar pressure starts to build in your chest. Your mind races: Will I actually be able to do all of this? Am I taking on too much? What if I disappoint myself again?

The questions multiply, pulling you back into memories of the past year—every misstep, every abandoned plan, every moment you felt less than who you wanted to be. Suddenly you’re not just thinking about resolutions anymore. You’re questioning your life choices, your abilities, even your purpose. That’s exactly how anxiety tends to show up: quietly at first, then all at once, flooding your mind with what-ifs and worst-case scenarios.

But the start of a new year doesn’t have to trigger panic or self-doubt. It can be an opportunity to understand your anxiety with more compassion and to build healthier, calmer routines. One of the most effective ways to do that is by practicing mindfulness and grounding—skills that help bring you back into the present moment instead of spiraling into the future or the past!

Some common triggers of anxiety are:

  • Health issues
  • Negative thinking
  • Financial concerns
  • Social events
  • Conflicts with friends, families, and partners
  • Medication
  • Not having a significant other
  • Skipping meals
  • Worries about the future

Some exercises you can do to combat these triggers include…

  • 5-4-3-2-1 Method: Identify 5 things you see, 4 you can touch, 3 you hear, 2 you smell, and 1 that you can taste.
  • 4-7-8 Breathing Exercise: Breathe in through your nose for 4 counts, hold your breath for 7 counts, and exhale through your mouth for 8 counts.
  • Repeat positive statements to yourself: Reciting daily affirmations about yourself might sound like “I am capable,” “I am worthy of love,” “I am safe in this moment,” or “Everything is going to be okay.”

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/.

Sources:

https://www.calm.com/blog/how-to-be-more-present

https://www.healthline.com/health/anxiety/anxiety-triggers#identifying-triggers

Tik Tok: Is It Actually “Rotting” Your Brain?

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By: Nirvana Ramoutar

Have you ever scrolled on Tik Tok or Instagram for far too long and felt completely fatigued after? Research shows that you are not alone. It has been recorded that the more time you spend engaging with social media, the more cognitive challenges may arise. This is due to the overconsumption of short-form content which is repetitive and creates concern on how the brain health of all age groups will be affected. The recent media has coined the term, “Brain Rot” to describe the effects of this overly stimulating content.

Brain Rot may be linked to behaviors that overtax our brain’s reward system. On Tik Tok, Instagram Reels, YouTube Shorts, etc. there are algorithms that pick up on what videos you like based on your interactions (comments, likes, shares, watch duration). This makes watching videos addictive as the platform is designed to keep us engaged and responsive. As we continue scrolling, our brain creates short bursts of dopamine with each video we like. Over time, this form of constant stimulation can affect your cognitive health.

What are the effects of brain rot?

  • Reduced attention span making it harder to focus on longer, complex tasks
  • Mental fatigue from the overload of information to the brain
  • Decreased memory retention through the constant shift between digital distractions
  • Increased anxiety or stress from repetitive consumption of negative news, also known as “doomscrolling”

A study by Jin Xie was done where 35 published studies based on excessive screen time, internet addiction, doomscrolling, cognitive performance, attention; memory and problem-solving were examined. The main finding was that there were links between high digital engagement and cognitive challenges. For example, short-form video addiction had a significant positive predictive effect on academic procrastination both directly and indirectly. Students would start procrastinating because of their lack of focus due to repetitive scrolling. Screen time was also associated with increased levels of anxiety, depression, and stress among students. It is important to understand that these effects can happen to people of all ages. However, due to adolescents’ developing brains, it can be inferred that overconsumption of social media can be harmful.

Because of the extent of these negative effects, it may be beneficial to promote activities that do not require us to be in front of a screen. Sometimes it is not possible to stop internet use since there are individuals that work online and use online devices in school; however there are steps you can take to maintain cognitive health.

  • Be intentional about what you consume online. If it is negative, try to stay away
  • Take regular breaks by following the 20-20-20 rule by taking a 20 second break for every 20 minutes of screen time to look at something 20 feet away
  • Set screen time limits within apps of use
  • Engage in offline activities
  • Focus on sleeping instead of staring at screens before bed, as it disturbs sleep patterns

Remember you have the ability to control your screen time. As long as you are mindful of your media consumption you can still enjoy the benefits of technology without getting stuck in negative cycles and while keeping your brain and mind healthy.

If you or someone you know is suffering with mental health issues and are in need of treatment, 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://pmc.ncbi.nlm.nih.gov/articles/PMC10756502/

https://www.inspirahealthnetwork.org/news/healthy-living/brain-rot-explained-how-digital-overload-affects-your-mind

Source for Picture:https://providenceproject.org/addiction/behavioural/social-media/

Relationships: How does mental illness affect romantic relationships?

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By: Mara Gonzalez

Romantic relationships are characterized as a form of connection through physical, emotional, sexual, mental attraction and intimacy towards one another. With strong feelings for each other, romantic relationships lead to strong commitment bonds. But romantic relationships aren’t always perfect. Over 40 million people in the United States, alone, are suffering from a mental disorder such as depression, anxiety, or bipolar disorder (Stein). Mental disorders can affect a person’s life in many different ways, including a romantic relationship. Since intimate relationships require attention from both parties, the function and stability of the relationship can vary if one of the partners is affected by a mental disorder. As some of mental illness can affect day-to-day functions, relationships can be affected by the wellbeing of one or both of the partners.

Although every person diagnosed with a mental disorder can experience different symptoms, some common signs of a mental disorder can be loss of appetite and sleep, extreme mood swings, burnout, increase/decrease of certain emotions, unhealthy coping habits and/or unusual emotional outburst. One example of how the effect on the relationship can be seen is codependency. Due to the unstable emotions, the person affected by a mental disorder might need to rely on their partner for everyday things like needing help to:  

  • Stay balanced with a healthy eating style
  • Getting a good number of hours of sleep
  • Setting appropriate boundaries
  • Enabling healthy behaviors

A fear that is common amongst people with a mental health issue and their romantic relationship is pushing the other partner away. Dealing with a mental disorder is not easy, and can negatively consume a person’s life. The fear of pushing your partner away comes from not knowing if you would be accepted by your partner due to your mental health issue(s), if your partner is willing to help you and your needs, if your partner is okay with intimacy, and many more. Tory Miller, a Clinical Program Manager at Diversus Health, stated, “Sometimes we have our own stigma associated with disclosing our mental health struggles. We hesitate to share with our partner for fear of pushing them away”.

Disclosing a mental health disorder is important because it helps keep the trust and open communication, as well as having a stable foundation in the relationship. It can be seen as healthy to disclose mental health disorders so your partner is not confused by your symptoms and is able to provide adequate support for you and give you a safe place to be yourself. It is important to understand that all relationships have struggles and challenges, and it may be a good idea to establish reliance and healthy boundaries.

Sources: Stein, Catherine H et al. “Strengths, Struggles, and Strategies: How Adults with Serious Mental Illness Navigate Long-Term Romantic Relationships.” Community mental health journal vol. 60,7 (2024)

“How Mental Illness May Affect Relationships.” Edited by Diversus Health, How Mental Illness May Affect Relationships – Diversus Health, diversushealth.org/mental-health-blog/how-mental-illness-may-affect-relationships/.

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/

Body Dysmorphia; how has social media has affected it?  

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Body Dysmorphia Concept. Distorted Perception Body, Causing Slim Characters To Believe They Are Overweight. Psychological Condition, Impacting People Self-esteem And Mental Health. Vector Illustration

Body Dysmorphia; how has social media has affected it?

By Manuela Gomez

Have you ever stared at yourself in the mirror and realized that your mind isn’t showing you the reality of what you look like? Body Dysmorphia is a mental state in which your mind is busy looking/making up imperfections of your body that no one else can notice.  Although, Body Dysmorphia has been around for a while social media has only made it worse in the recent years. Social media, the addiction in which you start to compare yourself with people you watch and follow. Then you put this expectation of yourself that you should look a certain way. We tend to forget that even social media isn’t portraying the whole truth. According to the article Frontiers, 29% of people with higher social media usage have Body Dysmorphia compared to, 19% of people that have a lower usage. Here are some ways that you can help improve your BD:

  • Replace your negative thoughts with the positive (Ex: I look ugly today- I look and feel amazing)
  • Start changing the habit of analyzing yourself in the mirror every day, stand in front of it and give yourself positive affirmations
  • If you want to change something about your body then do it, but in healthy way
  • Surround yourself with healthy people and habits
  • Less social media time

Body Dysmorphia is not uncommon. It is treatable with the right professional and the effort you put into it. Don’t let your reality get lost because you see what others don’t see.

Source(s): https://www.mayoclinic.org/diseases-conditions/body-dysmorphic-disorder/diagnosis-treatment/drc-20353944

https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1324092/full

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/

Self-Esteem: The Impact of Cyberbullying in Teenagers

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Self-Esteem: The Impact of Cyberbullying in Teenagers

by: Mara Gonzalez

Now a days, it is common to see teenagers and young adults owning a cellular device. Teenagers are most likely to be on social media accounts in order to stay updated on the latest social news, and celebrity’s lives, watch funny videos, research informational findings, and chat with friends or strangers. Social media is commonly use to keep in contact with an old friend or partner, stay in touch with a friend living far away, and much more. But unfortunately, there is a down side of social media.

            Cyberbullying has been around since the beginning of messaging applications. Cyberbullying is a form of harassment done to an online user, appearing in different forms like aggressive behavior, blackmail, hateful messages/comments, or breach of privacy. This has been a huge problem in the United States for teenagers and young adult’s self-esteem as some comments can be directed at physical appearances and looks. This can lead to feeling self-conscious about one’s body and style of clothing. Due to hateful messages and comments, teenagers can struggle seeing themselves fit into society’s standards and they start to feel “not good enough”. There have been many cases when teenagers start developing mental disorders like depression, anxiety, suicidal intentions and psychological distress due to cyberbullying.

            Anybody can be a victim of cyberbullying. Cyberbullying can cause irreversible damage to younger online user’s self-esteem and confidence. When using social media, cyberbullies can choose to present their own identity or choose a fake identity, which is more frequently seen online. This means that around 44% of online users do not disclose their identity making it easier to target and cyberbully other online users without sharing who they really are. “Hiding a behind a screen” is an infamous phrase used to describe users that choose to cyberbully others online.

            In order to prevent cyberbullying from continuing to happen, there have been worldwide public campaigns, movements, online activism, victim support, school programs and social media hashtags. Spreading awareness is very important, in the online world, because it helps prevent cyberbullying from continuing causing harm others. Choose to support one another. “Courage is fire and bullying is smoke”- Benjamin Disraeli.

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/

Schizophrenia: “The Collected Schizophrenias” – A Glimpse into the Mind of a High-Functioning Schizophrenic

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Schizophrenia: “The Collected Schizophrenias” – A Glimpse into the Mind of a High-Functioning Schizophrenic

By: Rachel Wang

From the outset of Esme Weijun Wang’s writing, she held my attention and respect as a first-time reader of her work: Asian American, graduated from Stanford with a 3.99 GPA, highly accomplished author. As she described her struggle with various mental illnesses including schizoaffective disorder, Lyme disease, and Cotard’s syndrome, I was struck by how, in spite of all of these challenges, she was still able to lead a rich, successful, and relatively happy life. Having a mental illness does not take away from you as a person; rather, it stands as a testament to what you have undergone and the strength of your character.

At the beginning of her novel, Wang points to a 2013 Slate article titled “Schizophrenic Is the New Retarded” by neuroscientist Patrick House, in which House notes that schizophrenia is closely associated with qualities of being volatile and contradictory, characterizing a range of personas from a person with split personality disorder to a serial killer. Wang uses this article to convey a main theme that recurs throughout the novel: When it comes to “socially frowned upon” disorders like schizophrenia, being diagnosed is something of a death sentence in itself. All aspects revolve around this heavy medical label that you have become; even if you recover and lose the diagnosis, those who know you will feel like they don’t because of this cryptic illness, and you will forever be considered an outcast in society.

When it comes to dealing with high-risk mental disorders, a person must be judged on whether they pose not only a danger to themself, but to society as well. As someone who was sent to a mental facility against her will, Wang believes that forcing treatment onto someone under the guise of “doing what’s best for them” is a serious violation, stripping the individual of the basic right of autonomy. She quotes Plumadore, a renowned figure in the mental health community, on this subject: “We have the ultimate decision about what we’re going to allow into our bodies, what we’re not, and the decisions that we make about our own lives.” This view reappears later in the novel when Wang describes her experience with being 5150’d (involuntary psychiatric commitment), which she concludes with the final, depressing thought: “For those of us living with severe mental illness, the world is full of cages where we can be locked in” (110).

From lifelong societal disapproval to deterioration of health, schizophrenia is undoubtedly a plague to those who bear it, causing much suffering and threatening to overtake one’s whole life. The perpetual overshadowing of this type of illness leads less to the perspective “What will this affect?” and more to simply thinking “What won’t this affect?” or “What percent of my life can I realistically expect to keep for myself?” In spite of all her doubts, Wang was able to prove that she was larger than her disorders—not only achieving her dream of becoming an accomplished writer, but going further to create a powerful work of literature based on her personal struggles, offering inspiration to those struggling with mental illnesses everywhere.

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/

Doomscrolling: How Mindless Scrolling Impacts Adolescent Mental Health

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Doomscrolling: How Mindless Scrolling Impacts Adolescent Mental Health

By: Rachel Wang

In today’s age, social media scrolling has become increasingly common among the young adult population. Among my college friend group, words like “brainrot” and “doomscrolling” are a regular occurrence, and while often played off as a joke, they also speak to the unhealthy tendency to spend copious amounts of time online. With teenagers spending an average of 8 hours and 39 minutes on screens daily, it’s no wonder that the impact of cell phone use and social media has become a huge concern for teens and parents. 

 On the topic of doomscrolling, TikTok is a major subject of discussion. Compared to other platforms, TikTok’s interface facilitates instantaneous content consumption and creation, and was one of the first platforms to generate a customized feed of audiovisual content tailored for users based on their perceived preferences via the app’s algorithm. In other words, it provides users with endless short videos specifically curated to what the user finds most interesting, making it the perfect addictive app for people with short attention spans. However, TikTok’s compelling interface comes at a cost for its users. It has been shown that a greater number of hours spent scrolling on TikTok—aka passive use—predicted lower life satisfaction, while the number of videos posted—aka active use—predicted higher life satisfaction (Wu et al., 2021). Notably, only about 25% of all TikTok users create 98% of all publicly accessible videos, while nearly half of users (48%) have never posted a video, indicating that the majority of users consume content passively, known as “lurking” (Smith 2024). This means that, for the majority of TikTok users who use the app passively, a greater number of hours spent scrolling predicts lower life satisfaction, making higher screen times a very real cause for concern that is worth addressing.

At the end of the day, social media addiction and doomscrolling are still relatively new concepts, which means research in these areas is still wanting. With the average teenager spending over one-third of their lives on a screen—potentially spending more time on their phones than sleeping—the need for more research in this subfield is self-explanatory. Perhaps, instead of normalizing terms like “doomscrolling” and “brainrot”, we should be funding social media research and encouraging one another to self-reflect and nurture our minds with healthier, real-life habits.

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/

sources: Two Years Into the Pandemic, Media Use Has Increased 17% Among Tweens and Teens | Common Sense Media, https://doi.org/10.1037/ppm0000292, TikTok mostly passive consumption platform dominated by active posters, study shows

Effects of Social Media on Mental Health

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Effects of Social Media on Mental Health

By: Jessica Radfar

Social media offers many advantages, allowing people to stay connected with friends and family regardless of location. It also provides quick and easy access to information, including news and current events. However, despite these benefits, social media can negatively impact mental health. Here are some reasons why.

  • Fear of Missing out (FOMO): Constantly checking to see what others are doing can lead to feelings of fear and missing out. This can create anxiety and unrealistic expectations about how we “should” be living.  
  • Self-Image: Social media often promotes idealized images using filters to change appearances online. This can affect our mental health by comparing ourselves to others or seeking acceptance from our posts on social media through likes and comments.
  • Self-Esteem: Watching other people’s seemingly perfect lives can result in feelings of insufficiency and low self-worth.
  • Cyberbullying: Exposure to harassment and negative comments on social media can lead to feelings of isolation and increased stress.

To help with this, prioritize your well-being. Here are some ways to do that.

  • Limit Screen Time: Use features on your phone to set daily time limits on social media apps.
  • Schedule Yourself Screen-Free Time Daily: Set aside part of your day, whether it is during meals, time at the gym, or with friends, where you are completely offline and present.
  • Put Your Phone on Do Not Disturb: This will help eliminate distractions and checking notifications.
  • Avoid Social Media Before Bed: The blue light on our phones can disrupt our sleep, which is crucial for our mental health.

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/

References

Dalomba, F., About the Author: Frances Dalomba, Author:, A. the, Ead, A., Craine, R., & Paccione-Dyszlewski, M. R. (2022, March 1). Pros and cons of Social Media. Brown University Health. https://www.brownhealth.org/be-well/social-media-good-bad-and-ugly

Hospital, B. (n.d.). 7 ways social media can affect mental health. Butler Hospital. https://www.butler.org/blog/7-ways-social-media-can-affect-mental-health

Panic Attacks; Physical Symptoms & How to Manage them

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Panic Attacks; Physical Symptoms & How to Manage Them

Panic Attacks: Physical Symptoms & How to Manage Them

By: Sydney White

            Panic Attacks are your body’s natural response to fight or flight. They usually last only a few minutes, even though it feels much longer. This overwhelming bodily reaction can be triggered by a multitude of reasons caused by severe anxiety. Symptoms can manifest in various ways, depending on the individual. Psychological symptoms such as fear and dread persist throughout panic attacks and are usually accompanied by physical symptoms. Physical symptoms can include increased heart rate, shaking, sweating, lightheadedness, or shortness of breath. Some individuals experience multiple symptoms during panic attacks, and others will not experience them at all. During a panic attack, you will feel these intense symptoms, often enhancing the anxiety, intensifying the panic attack. This creates a constant cycle that becomes difficult to break.

            Breaking the cycle is key to taking control of your mind and body when you find yourself in one of these situations. Remember, you are in control, not the other way around. Erratic breathing is a prevalent symptom for most people who experience panic attacks. A common method is Box breathing, to regulate your breathing. There are many videos explanations online for further instructions, but in short, you begin by inhaling slowly through your nose for four seconds, hold your breath for four, exhale slowly through your mouth for four, and then hold your breath again for four. There are many different breathing techniques that are helpful in helping to calm your body down from a panic attack. Deep breathing is one of the fastest ways to come down from a state of fight-or-flight, but takes patience and practice to master. Some people struggle with breath practice and can benefit from other techniques such as muscle relaxation and methods of distraction. Muscle relaxation involves tensing and releasing specific muscle groups. It is suggested to start from your toes, working your way up to your head. Focusing your attention on tensing and releasing muscle groups converts your focus to your present and physical body. Another helpful method of distraction is the 5 senses. During this exercise, you will become conscious of what you hear, see, smell, touch, and taste. This method allows the individual to center their attention on their present self to reduce anxiety.

Test Anxiety: How to Relieve That Stress

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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