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

          Anxious Thoughts: How to Quite Them with Simple Self-Talk

          Anxious Thoughts: How to Quite Them with Simple Self-Talk

          By: Angy Farhat

          Have you ever noticed how your anxious thoughts can feel like a loud, persistent soundtrack playing in the background of your mind? They might be vague (“Something bad is going to happen”) or specific (“I might crash my car”), but either way, they tend to disrupt your day and leave you feeling tense and worried. What if you could turn down the volume of these thoughts and take back control?

          One powerful technique to combat these overwhelming thoughts is by using self-talk. Anxious thoughts often feel like promises of disaster—dangerous predictions that seem almost certain. But what if you could challenge these thoughts with statements that offer reassurance instead of fear?

          Here’s how it works: When you experience a fearful or anxious thought, you can counter it with a more grounded, calming statement. For example, if your anxious thought is “I am in danger,” you can respond with “I am safe right now.” It’s a simple but effective strategy to shift your mindset from panic to calm.

          Take John, for instance. He’s driving on the highway, and his anxious thoughts spiral: “This is dangerous… anything could happen… I won’t be able to react in time… people crash on highways all the time.” These thoughts feed off each other, growing louder and reinforcing the feeling that disaster is imminent. The more he believes them, the more overwhelming they become. But here is where self-talk can make a difference. Instead of surrendering to the anxiety, John could pause, take a deep breath, and remind himself, “I’ve driven this highway countless times, and I’ve always been fine.” With this gentle challenge to his anxious thoughts, James gains a sense of control and the volume of his fears starts to decrease.

          Think of this like getting rid of an earworm, that catchy song that sticks in your head and won’t go away. When you finally shake it off, you’re left with relief—and space for something more positive. Using self-talk to challenge anxious thoughts is a way to reclaim that mental space. You stop focusing on the worst-case scenario and make room for calmer, more rational thoughts.

          Here are a few more examples of how you can challenge anxiety-driven thoughts:

          • “I am in danger” → “I am completely safe in this moment.”
          • “I am going to fail” → “I have succeeded at many things. I typically figure things out.”

          The key is to remember that you have the ability to influence your thoughts. By gently confronting your anxious monologue with calm, factual responses, you can reduce its power. Over time, this can help you feel less overwhelmed by anxiety and more in control of your emotional state.

          So, next time your anxious thoughts start to rise, try using self-talk to quiet them down and bring yourself back to a place of peace.

          If you or someone you love 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 http://www.counselingpsychotherapynjny.com/. 

          References:

          Mindfulness: Living in the Present

          Mindfulness: Living in the Present

          By: Maria Koutsothanasis

          Oftentimes it is easy to feel disconnected or distracted by living in the present. With work, school, or other obligations, it is easy to lose sight of the present time. Dwelling on the past or worrying about the future causes increased feelings of stress and depression. Mindfulness can help refocus on the present events to create a calmer and more focused life.

          What is mindfulness?

          Mindfulness is the practice of being fully focused on the present moment. By observing your thoughts and emotions, and removing judgment, mindfulness allows you to stay present and create a deeper connection and understanding of yourself.

          Mindfulness decreases stress and promotes overall emotional well-being and balance.

          1. Reduces stress and anxiety:

            Mindfulness calms the mind and body by shifting attention away from thoughts that increase stress. Mindfulness interventions such as meditation can lower cortisol levels (a stress hormone) and help people manage anxiety better.

            2. Boosts mental health:

              Mindfulness reduces symptoms of depression, anxiety, and PTSD. It promotes a greater sense of resilience and breaks a cycle of negativity. Through mindfulness, you can manage stress and have control over your mental well-being.

              3. Improves physical health:

              Mindfulness is not only good for the mind but also the body. Regular mindfulness practices have been linked to lower blood pressure, improved sleep, and an overall stronger immune system.

              How to Practice Mindfulness

              1. Mindful Breathing:

                  Spending a few minutes a day focusing on your breath calms your mind and helps reduce mental clutter. If you begin to feel anxious, focusing on breathing can reduce these feelings.

                  2. Engage in Gratitude:

                  Reflecting on things in your life that you are grateful for is a way to shift the perspective of your life in a positive way.

                  3. Being present:

                  Training your mind to stay present on the tasks that you currently engage in is a way to increase focus, reduce stress, and improve overall satisfaction in life.

                  Mindfulness does not require major life changes. It is about being fully present in the moments that make up your day. Incorporating these small changes in your life can lead to reduced stress, improved emotional resilience, and a deeper sense of fulfillment. The small shifts can transform how you experience the world around you and how you feel internally.

                  If you or someone you know is struggling with anxiety, depression, PTSD, 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/

                  U.S. Department of Health and Human Services. (2024, June 18). Mindfulness for your health. National Institutes of Health. https://newsinhealth.nih.gov/2021/06/mindfulness-your-health

                  Matthews, K. (2023, June 29). Health benefits of mindfulness: 1stCallHEALTH: Primary care providers. 1stCallHEALTH. https://1stcallhealth.com/health-benefits-of-mindfulness/


                  Pink Cocaine: What to Know

                  Pink Cocaine: What to Know

                  By Madison Gesualdo

                  There have been a lot of unfortunate headlines in the news recently, with two of the most prominent being the P. Diddy case and the recent death of One Direction star Liam Payne. Both of these unfortunate developments have a common denominator: they involve the presence of a designer drug commonly referred to as “pink cocaine.”

                  Pink cocaine, better known to certain users by its street name of tusi, very rarely contains actual cocaine. It is a synthetic substance that can contain a wide variety of drugs including methamphetamine, methylenedioxymethamphetamine (MDMA), opioids, and occasionally cocaine. The one drug that typically is consistently included in pink cocaine is ketamine. The mixture is usually dyed pink using dye or food coloring, yielding its pink color and name. All of the drugs in the mixture are, essentially, crushed up to form a concoction that users can snort. The ratios of the different drugs in pink cocaine can be adjusted on a user-by-user basis so that the drug is ultimately tailored to fit the desires of each individual user. Therefore, there is no universal formula for the making of pink cocaine.

                  With the many different formulas of pink cocaine come the many variations in the effects it can have on users. Depending on how much of a certain drug is present in pink cocaine, users of this drug can experience the following potential symptoms:

                  • Confusion
                  • Hallucinations/delusions
                  • Nausea
                  • Agitation
                  • High blood pressure
                  • Shallow breathing
                  • Changes in breathing pattern
                  • Low body temperature
                  • Seizures
                  • Changes in sleep patterns
                  • Changes in personality
                  • Issues with memory/attention
                  • Depression and anxiety

                  Although this is a fairly new designer drug, it is still contains several highly addictive and dangerous substances. If you or a loved one is suffering from substance use or abuse, it is important to get necessary help to prevent future use of drugs like this and the lasting effects that drug use can have.

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

                  Glasner, S. (2024, October 30). Pink cocaine is hitting headlines and clubs. Psychology Today. https://www.psychologytoday.com/us/blog/navigating-addiction-recovery/202410/pink-cocaine-is-hitting-headlines-and-clubs

                  Juarez, L. (2024, October 22). What is ‘pink cocaine’? Designer drug linked to Liam Payne and named in Diddy lawsuit. ABC7News. https://abc7news.com/post/what-is-pink-cocaine-designer-drug-linked-liam-payne-sean-diddy-combs/15451752/ Wiginton, K. & Begum, J. (2024, May 22). What is pink cocaine? WebMD. https://www.webmd.com/mental-health/addiction/what-is-pink-cocaine

                  Depression: What is dysthymia?

                  Depression: What is dysthymia?

                  By: Josette DeFranco

                  Dysthymia is mild but has more long-lasting symptoms than major depression. Dysthymia is also known as persistent depression disorder because it is continuous and long-term. There is no exact cause of dysthymia but biological differences, brain chemistry, life events, and inherited traits can play a role. It has been demonstrated that those with depression don’t have any family history of this disorder and those with a family history of depression don’t struggle with this disorder.

                  Some noticeable symptoms of dysthymia:

                  • Loss of enjoyment of regular activities
                  • Sadness or depressed mood
                  • Lack of motivation
                  • Tiredness
                  • Sleep problems
                  • Problems with decision-making or concentration
                  • Restlessness and impatient
                  • Low self-esteem
                  • Overeating or eating very little
                  • Suicidal thoughts
                  • Substance misuse
                  • Relationship difficulties
                  • School or work hardships

                  Some ways to help prevent dysthymia:

                  • Reach out to friends and family
                  • Seek medical professional help
                  • Work on reducing stress
                  • Be patient
                  • Be kind to yourself
                  • Practice self-care
                  • Don’t self-medicate

                  If you or someone you know is struggling with their 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 & Psychotherapy. Contact our Paramus, NJ, or Manhattan, NY offices at (201) 368-3700 or (212) 722-1920 to schedule an appointment. For more information, please visit https://aristapsychiatrypsychotherapy.com/

                  Resources:

                  https://www.webmd.com/depression/chronic-depression-dysthymia

                  https://www.mayoclinic.org/diseases-conditions/persistent-depressive-disorder/symptoms-causes/syc-20350929

                  The Importance of Mental Health: School Systems

                  By: Nicole Cutaia

                  The Importance of Mental Health: School Systems

                  The lives of children and teenagers may appear stress-free, but unfortunately, this is not the case for all children and teenagers. Anxiety and depression among young adults is more common than society believes it to be. Children and teenagers do have their own stress factors in their lives such as school work, their appearances, relationships or friendships, and or extra curricular activities.

                  Some children and teenagers may come from a household where mental health is overlooked and not openly discussed. That is why it is extremely important that school systems and districts prioritize mental health and related services. Making sure every student within a school is heard and feels as though they belong is extremely vital in creating a safe space.

                  Other than school counselors, school systems and districts can participate in providing students with school-wide presentations that review mental health. These presentations should incorporate guest speakers as well.

                  Mental health should be mandatory in health classes. The depth of the curriculum and structure of the material will be dependent on the age and academic level of the students. Children and teenagers should be exposed to information that is appropriate for their age.

                  Various children and teenagers view their school as a safe place. It is crucial that we make it known to students that their feelings and emotions are normal and valid.

                   If you or someone you know is experiencing mental health difficulties, 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/

                  Postoperative Cognitive Dysfunction

                  Postoperative Cognitive Dysfunction

                  By Madison Gesualdo

                  Postoperative cognitive dysfunction (POCD) refers to a decline in neurocognitive function from a patient’s baseline functioning that occurs in individuals who undergo surgical processes and are put under anesthesia. Postoperative cognitive dysfunction complicates a patient’s central nervous system, delaying their neurocognitive recovery process as a whole. Individuals who endure POCD typically experience issues with their attention span, memory, learning, perception, executive functioning, and motor skills. POCD is not to be confused with postoperative delirium; while postoperative delirium is an acute state of neurocognitive functioning lasting approximately 1-3 days post-surgery, POCD typically persists longer, lasting weeks, months, or in some cases, years.

                  While POCD is not yet a formal psychiatric diagnosis, it is characterized by the DSM-5 as a mild neurological disorder, falling under the cognitive impairment classification. POCD occurs in roughly 10-54% of patients within the first few weeks of surgery.

                  A variety of risk factors for POCD have been identified, including advanced age, severity of the surgery being performed, type and amount of anesthesia being used, electrolyte imbalance, and pre-existing conditions (such as dementia and diabetes). These factors are examples of factors that would put a patient at higher risk for suffering from POCD after his or her surgery.

                  Although no specific treatment exists for postoperative cognitive dysfunction, different treatment methods have proven to reduce the effects of the condition. These methods include, but are not limited to:

                  • Anti-inflammatory drugs
                  • Biologically active substances
                  • Surgical techniques and anesthesia best suited to fit the specific patient being operated on
                  • Improving a person’s cognitive functioning prior to surgery

                  If you or someone you know is struggling with 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/

                  References:

                  Brodier, E. A., & Cibelli, M. (2021). Postoperative cognitive dysfunction in clinical practice. BJA Education, 21(2), 75–82. https://doi.org/10.1016/j.bjae.2020.10.004

                  Spriano, P. (2024, September 9). What do we know about postoperative cognitive dysfunction? Medscape Medical News. https://www.medscape.com/viewarticle/what-do-we-know-about-postoperative-cognitive-dysfunction-2024a1000g9b?ecd=WNL_trdalrt_pos1_240909_etid6816496&uac=445328CY&impID=6816496

                  Zhao, Q., Wan, H., Pan, H., & Xu, Y. (2024). Postoperative cognitive dysfunction-current research progress. Frontiers in Behavioral Neuroscience, 18, 1328790. https://doi.org/10.3389/fnbeh.2024.1328790

                  Mental Health Services: The Significance of Geography

                  By: Nicole Cutaia

                  Mental Health Services: The Significance of Geography

                              While numerous mental health services are available today, the abundance and equality of services and resources depend on the location. Some individuals reside in rural landscapes where the nearest healthcare professional, psychiatrist, psychologist, or clinical social worker can be miles and miles away. This can become an issue for individuals who need mental health treatment and assessment in a physical setting. Although telehealth is an alternative option for face-to-face appointments, many may not gravitate toward the technology option.

                              Depending on the diagnosis, receiving face-to-face treatment and therapy can be the most beneficial to managing the diagnosis. Unfortunately, due to the distance, some individuals would rather decide to not treat their mental illness and continue to live with it. If something is so far out of the way, it may feel like a chore or burden for individuals to attend to instead of viewing it as a resource to benefit their mental stability and mental balance.

                              Also, the stigma and awareness about mental health depend on where someone lives. Based on the area, the education focused on mental health can be very limited or ample. Therefore, if an individual happens to reside in an area with little to no education toward mental health, the treatment and the services may not normalized and accepted. This unfortunately may then lead to individuals not receiving the assistance they need.

                   If you or someone you know is having mental health difficulties and/ or experiencing symptoms of any form of inner conflicts, 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/

                  Depression: Do Genetics Play a Role in Depression

                  Depression: Do Genetics Play a Role in Depression

                  By: Josette DeFranco

                  Major depressive disorder is a condition that affects many individuals. Major depressive disorder can range from being clinically mild and short-lasting to recurring over and over again, to being highly chronic and treatment-resistant. Depression is known to run in families indicating that there are genetic factors. It can be a combination of life experiences and environment. Genetics plays a mild role in depression. Also, families with certain genetic patterns lived eight years shorter than average. As depression may range from transient to debilitating it is expected that many different sets of genetic alterations are involved. Some genes are associated with weight and body, neuron development, and brain inflammation and another group is associated with proteins that tell the immune system which cells are friendly and which are not. This means that our genetics can not only influence our physical characteristics but also how our brain functions and our immune system interacts and identifies with different cells in the body. Your environment can modify the genetic factors that play a role in depression.

                  If you are concerned about a strong history of depression in the family and are scared about it affecting you or your future children a study suggests that even with a high tendency for depression, psychotherapy or behavioral activation therapy can reduce it. Individuals need to understand the life-changing impact their environment can have on their mental health. Our emotions are generated by our thinking which may serve as an influence on our behaviors. You may have had genetic roots of depression, a difficult upbringing, or a terrible tragedy that has currently occurred but if you change your thinking then your emotions will change as well.

                  If you or someone you know is struggling with their 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 & 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/

                  Sources:

                  https://www.psychologytoday.com/us/blog/the-athletes-way/201603/depression-new-research-shows-genetics-are-not-destiny

                  https://www.psychologytoday.com/us/blog/psychiatry-the-people/201804/massive-study-clarifies-genetic-risks-major-depression

                  https://www.psychologytoday.com/us/blog/the-three-minute-therapist/202007/overcoming-genetically-based-depression

                  Sleep Deprivation Psychosis

                  Sleep Deprivation Psychosis

                  By Madison Gesualdo

                  Remember that episode of Law and Order: Special Victims Unit where Sarah Hyland gave us an Oscar-worthy performance as a genius prep school student, Jennifer Banks, who attacked her roommate because of their academic rivalry? During the trial, the defense was able to prove diminished capacity on Jennifer’s behalf, meaning that Jennifer’s impaired mental state at the time of the crime prevented her from fully controlling her violent actions. Jennifer, who had been taking a form of modafinil that allowed her to stay awake for six consecutive days before she committed her crime, was suffering from sleep deprivation psychosis. Because the defense was able to prove this, she was able to plead guilty to her crime on a lesser charge and was only sentenced to seven years in prison at the conclusion of the episode.

                  Let’s talk about sleep deprivation psychosis from a clinical standpoint. On the show, it is mentioned that being awake for 17 hours is similar to having a blood-alcohol content (BAC) of 0.05% – that’s legally impaired in the state of Utah, even though the federal limit is 0.08%. The National Institute for Occupational Safety and Health corroborates this finding, adding that being awake for 24 hours is the equivalent of having a BAC of 0.10%. Now, imagine Jennifer’s psychological state after being awake for 144 hours without a minute of sleep, running off of a stimulant drug designed to block dopamine receptors and consequently increase the body’s overall levels of dopamine. It’s no wonder that her memory of the encounter with her roommate was hazy at best.

                  According to a 2018 study published in Frontiers in Psychiatry, sleep-loss developments such as hallucinations and perceptual distortions can occur in individuals with no history whatsoever of psychiatric issues. This study essentially found that the more time a person spends awake, the more he or she will progress towards a state of psychosis. Symptoms such as anxiety, disorientation, and depersonalization began after 24 – 48 hours without sleep, evolving into disordered thinking and complex hallucinations after 48 – 90 hours without sleep. Once a person reached the 72 hour-mark without sleep, the study claimed, his or her psychological state resembled that of toxic delirium or acute psychosis.

                  If an individual is experiencing insomnia, anxiety, depression, or any other conditions that can lead to a deficiency in proper sleep, he or she should seek help immediately. A wide variety of intervention methods and medications are available to help gradually regulate an individual’s sleep-wake cycle and prevent cognitive impairment resulting from sleep deprivation. Make sure to speak with a mental health professional to see what options are available to you.

                  If you or someone you know is struggling with sleep, anxiety, or 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 & 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/

                  References:

                  Davis, C. (Writer). (2009). Hothouse (Season 10, Episode 12). [TV series episode]. In D. Wolf (Executive producer), Law & order: Special victims unit. Hulu. https://hulu.com

                  National Institute for Occupational Safety and Health (2020, March 31). Impairments due to sleep deprivation are similar to impairments due to alcohol intoxication. U.S. Centers for Disease Control and Prevention. https://www.cdc.gov/niosh/work-hour-training-for-nurses/longhours/mod3/08.html#print

                  Waters, F., Chiu, V., Atkinson, A., & Blom, J.D. (2018). Severe sleep deprivation causes hallucinations and a gradual progression toward psychosis with increasing time awake. Frontiers in Psychiatry, 9, 303. https://doi.org/10.3389/fpsyt.2018.00303