Tardive Dyskinesia

Tardive Dyskinesia

By Madison Gesualdo

Tardive dyskinesia is a syndrome in which a person exhibits repetitive, involuntary muscle movements. This syndrome directly affects the central nervous system and is typically seen in patients who are prescribed antipsychotic drugs, usually for bipolar disorder and schizophrenia. Tardive dyskinesia is chronic, with the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition mandating that symptoms must persist for at least a month after an individual discontinues his or her medication in order to be officially diagnosed.

Neuroleptic drugs, also known as antipsychotics, are the most common inducers of tardive dyskinesia. Antipsychotics are often prescribed to patients with bipolar disorder and schizophrenia in order to reduce symptoms such as hallucinations, delusions, and disorganized thinking. These drugs successfully work by blocking receptors in the nervous system – specifically D2 dopamine receptors in the midbrain and forebrain – and consequently lowering dopamine levels within an individual. This is crucial for individuals diagnosed with bipolar disorder or schizophrenia because overactivity of dopamine in the brain can alter brain chemistry, leading to many of the psychotic symptoms associated with these disorders. Thus, antipsychotic medications are able to help assuage some of these symptoms by regulating an individual’s dopamine levels.

Like most medications, neuroleptic drugs have the potential for negative side effects. A person who has been taking neuroleptic drugs for an extended period of time may start experiencing abnormal involuntary movements, contractions, tics, tremors, and restlessness. All of these actions, in the context of long-term antipsychotic use, encompass tardive dyskinesia. These symptoms occur as the result of dopamine receptors having been blocked for too long; blockade of these receptors prevents fluid communication between nerve cells, resulting in a lack of stable movements in an individual.

If an individual finds that he or she is experiencing medication-induced tardive dyskinesia, he or she should consider talking to a doctor about stopping or switching the current medication that is causing it. Additionally, deep brain stimulation can also be utilized as a solution. This procedure employs a neurostimulating device that sends electrical signals into the brain to stimulate the blocked dopamine receptors and encourage movement.

Tardive dyskinesia should not be disregarded, as there are plenty of methods of intervention that can help reduce symptoms within an individual and make the condition more manageable. Make sure to consult with a healthcare provider about a treatment plan if you or a loved one is experiencing this condition.

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/

References:

Allarakha, S. (n.d.) Why do antipsychotics cause tardive dyskinesia? MedicineNet. www.medicinenet.com/why_do_antipsychotics_cause_tardive_dyskinesia/article.htm

Ameer, M.A., Patel, P., & Saadabadi, A. Neuroleptic Medications. [Updated 2024 Feb 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459150/

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

Bhandari, S. (2023, January 12). What is tardive dyskinesia? WebMD. https://www.webmd.com/mental-health/tardive-dyskinesia

Cornett, E.M., Novitch, M., Kaye, A.D., Kata, V., & Kaye, A.M. (2017) Medication-induced tardive dyskinesia: A review and update. The Ochsner Journal, 17(2), 162-174. https://www.ochsnerjournal.org/content/17/2/162/tab-article-info

The Centre for Addiction and Mental Health. (n.d.) Antipsychotic medication. CAMH. www.camh.ca/en/health-info/mental-illness-and-addiction-index/antipsychotic-medication#header.

Vasan, S., & Padhy, R.K. Tardive Dyskinesia. [Updated 2023 Apr 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448207/

The Importance of Involvement: Special Needs

By: Nicole Cutaia

The Importance of Involvement: Special Needs

No one appreciates being left out. This applies to any age but especially has damaging effects on children. Children with special needs or intellectual disabilities are often left out in social settings. These environments range anywhere from school, sports, afterschool activities, and social gatherings

Growing up, we were taught to include everyone and never leave anyone out. But unfortunately, this ideology does not have value or significance to some. Kids can especially be mean or judgemental to others who may not look and act exactly like them. This is why bullying and stigma rates towards special needs individuals are so high.

I believe there are children who could benefit from learning about special needs and intellectual disabilities at school and at home so they are aware and knowledgeable on the topic. It is also very considerate to involve individuals who may not always have the opportunity to be included.

Everyone has a right to feel like they belong in their community and amongst their peers. Because they do belong.

It can be difficult to see a loved one or caretaker struggle with mental health. If you or a family member are 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 & Psychotherapy. Contact our Paramus, NJ, and 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/

Insomnia: Effect on Workplace Productivity

Insomnia: Effect on Workplace Productivity

By Madison Gesualdo

It’s barely 1 P.M. during the work day and you’re already dozing off at your desk, wondering how on Earth you’ll stay awake for the next few hours. To any observer, you might appear as yet another lazy employee “sleeping on the job.” However, no one knows about the preceding circumstances leading up to your lapse in energy, and no one except you knows about the tossing and turning you experienced the night before that, ultimately, led to yet another sleepless night.

Insomnia is a sleep disorder in which an individual has difficulty falling asleep or staying asleep. The disorder becomes chronic when these habits persist, becoming a regular pattern in the individual’s daily life. According to a 2024 survey conducted by the American Academy of Sleep Medicine, roughly 12% of adults in the United States self-reported being diagnosed with chronic insomnia. This statistic does not account for any currently undiagnosed cases of chronic insomnia in the United States, or for diagnosed cases that survey participants chose not to self-report. While one might speculate that a sleepless night resulting from insomnia may just cause general drowsiness and prompt a few yawns the following day, the effects of insomnia, specifically on workplace productivity, far exceed this assumption.

Insomnia can cause a severe deficit in workplace productivity, with sleep deprivation yielding a significant decline in job performance. Individuals who suffer from chronic insomnia report experiencing impaired thinking, emotional emptiness, and slowed physical reactions during their workday, as well as extreme fatigue that causes delays and errors in work assignments and tasks.

A wide range of resources are available to treat insomnia. Some of these include:

  • Cognitive behavioral therapy (CBT): Can help reduce anxiety about not being able to sleep
  • Relaxation/meditation therapy: Can help train you to relax your body and fall asleep more easily
  • Stimulus control therapy: Can help regulate your sleep-wake cycle and eliminate potential distractions encountered when falling asleep
  • Medication: Prescription medications, such as benzodiazepines, can help sedate the central nervous system and relax the body, making it easier to fall asleep

If you or someone you know is struggling with insomnia or trouble sleeping, 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/

References:

American Academy of Sleep Medicine. (n.d.) Survey shows 12% of Americans have been diagnosed with insomnia. American Academy of Sleep Medicine. https://aasm.org/survey-shows-12-of-americans-have-been-diagnosed-with-chronic-insomnia/#:~:text=Survey%20shows%2012%25%20of%20Americans%20have%20been%20diagnosed%20with%20chronic%20insomnia

National Heart, Lung, and Blood Institute. (n.d.) Insomnia: Treatment. National Institute of Health. https://www.nhlbi.nih.gov/health/insomnia/treatment

Newsom, R. & Wright, H. (2023, November 3). The link between sleep and job performance. Sleep Foundation. https://www.sleepfoundation.org/sleep-hygiene/good-sleep-and-job-performance

Seasonal Affective Disorder

By: Nicole Cutaia

Seasonal Affective Disorder

As the autumn leaves fall, everyone copes with the seasons changing differently. Some embrace the changes, while others may have difficulty with the adjustments. Seasonal Affective Disorder (SAD) is a type of depression that occurs during specific seasons. Typically, Seasonal Affective Disorder is most common in the fall and winter months when there is reduced sunlight. The lack of sunlight affects the body’s internal clock, hormone levels, and chemical messengers, Various symptoms of Seasonal Affective Disorder range from feelings of sadness, low energy, irritability, difficulty sleeping, and changes in appetite.

Multiple treatments are available for managing Seasonal Affective Disorder such as light therapy, counseling or psychotherapy, medication such as selective serotonin reuptake inhibitors (SSRIs), and cognitive behavioral therapy (CBT).

Additionally, there are coping methods individuals can try at home. The methods include going outside to get natural sunlight, eating vitamin D-enriched foods, taking vitamin D supplements, avoiding stressful situations, and consuming a healthy and balanced diet. Other methods one can try are getting plenty of outdoor and indoor exercise, talking to family and friends about Seasonal Affective Disorder, making your space as light and airy as possible, and sleeping for at least 7 to 8 hours every night.

It can be difficult to see a loved one struggle with Seasonal Affective Disorder. If you or a family member are 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 & Psychotherapy. Contact our Paramus, NJ, and 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/

Anxiety: Social Anxiety

Anxiety: Social Anxiety

By: Stefani Stojanoska

Social anxiety disorder is a persistent and intense fear of social settings. People who have social anxiety are afraid of being judged by others or humiliated. This disorder can affect an individual’s daily life such as work and school. Being able to do daily things such as eating or using the bathroom can cause an individual to have an intense amount of anxiety.

Here are some symptoms of Social Anxiety Disorder

  1. Avoiding eye contact and speaking in a soft voice
  2. Feeling self-conscious or feeling others are always judging you
  3. Sweating, trembling, shaky voice, and rapid heartbeat when in social settings
  4. Worrying about upcoming events or activities

Some treatments for Social Anxiety Disorder

  1. Cognitive behavioral therapy-This therapy helps individuals learn how to think, behave, and react to social situations to help reduce anxiety
  2. Medications are also helpful for social anxiety. The best types of medications for this disorder are SSRIs and SNRIs. SSRIs increase serotonin levels while SNRIs increase serotonin and norepinephrine levels.
  3. Hypnotherapy is a great way to help reduce anxiety. Individuals who choose hypnotherapy will learn how to get into a state of relaxation. This will allow them to learn how to relax their mind without feeling anxious.

If you or someone you know is struggling with anxiety or 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/

Work-Life Balance

Work-Life Balance

By: Josette DeFranco

Are you feeling overwhelmed due to the lack of balance in your work and personal life?

Work-life balance is important because it affects you, your family, and others. You need the time and energy to participate in your own personal interests, family, and community activities. A workplace that supports employees’ well-being and allows their employees to focus on their mental health is an excellent way for them to avoid burnout.

Here are some healthy work-life balance tips:

  • Take breaks
  • Set boundaries
  • Learn to say no
  • Prioritize your mental health
  • Set goals
  • Practice Mindfulness
  • Create a flexible work schedule
  • Seek support

It is important to acknowledge how this balance can benefit you. It’s easy to get caught up in your job and neglect your wants and needs. These are just a couple ways having a work-life balance can help you; create healthier workplace relationships, improve your mental health, enhance your physical health, and have better productivity at work.

If you, your child, or someone you know is experiencing back-to-school anxiety, social anxiety, or other anxiety disorders or mental health issues, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrist, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan offices respectively, at 201-368-3700 or 212-722-1920 to set up an appointment. Please visit http://www.counselingpsychotherapynjny.com/ for more information.

Sources:

https://www.psychologytoday.com/us/blog/presence-of-mind/201509/hows-your-work-life-balance

https://www.timedoctor.com/blog/work-life-balance-tips

How to Help Children Cope with Grief and Loss

How to Help Children Cope with Grief and Loss

By: Josette DeFranco

A question you don’t hear enough but should be asked more is “What is grief?” Grief is the terrible pain that accompanies loss. Since grief is a reflection of our love, it can feel suffocating. There is no time limit for healing the pain that comes along with loss. Many individuals try to suppress their pain and agony causing them to feel guilt and stagnant. Many individuals may experience grief in short passes where the feeling of distress and sadness comes and goes. Meanwhile, others may experience grief for a long period, such as months or years. It’s important to remind yourself and others that you can grieve at your own pace.

In addition, children experience grief and loss in many different ways. Children are like sponges; they take in information through observation and learned behavior. Although they are young they have deep feelings and can understand their own emotions more than it is perceived. When children grieve it can be a confusing time for them and parents. Do you tell the truth? Or do you rationalize and give simple answers such as “Grandpa is just sleeping.” Being present with them allows you to grieve as well. When children see that their parents can be vulnerable and compassionate it allows them to express themselves and be who they really are.

Here are a couple of ways to help children cope with grief:

  • You can tell children the truth, even though you might not include all the specific information. Mentioning to them that Grandpa is sleeping may cause them to feel afraid to go to sleep or telling them he is in heaven may make them pack their belongings and find heaven. Be clear, honest, and simple.
  • Allow them to ask questions. You can’t protect them from the truth but you can give them your empathetic support and love.
  • Attending the funeral or keeping children home. Ask your child and allow them to decide. If they say yes, have someone who will be present with them and can keep them occupied in case being around sad adults gets overwhelming. If they say no, you can offer another way to remember or honor the person such as showing pictures or lighting a candle.
  • Give reassurance.

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/playful-parenting/202301/how-to-help-children-cope-with-death-and-grief

https://www.psychologytoday.com/us/blog/tales-of-grief/201903/when-children-grieve

https://www.psychologytoday.com/us/basics/grief

Social Anxiety in Back to School Students

Social Anxiety in Back to School Students

By Melissa Rodriguez

Going back to school can be exciting for students of all ages. Along with the feelings of newness and back-to-school excitement, feelings of nervousness and social anxiety can also arise. Students may feel nervous or anxious starting a new school year. All of the new people students will be around and the new environment they are placed in can cause them to feel socially anxious, unsure, or nervous about the new changes. According to the National Institute of Mental Health, about an estimated 31.9% of young people experience at least one anxiety disorder in their lifetime.  

Social anxiety is a fear of social situations. Those with social anxiety are usually more shy, quiet, and overall socially reserved. Some physical symptoms students with social anxiety may feel are: shortness of breath, a churning sensation in the stomach, palpitations, out of body experiences, muscle tension, and feeling lightheaded or dizzy sensations. Some psychological symptoms students may face are: a constant feeling of being judged in social settings, always worrying that you will embarrass or humiliate yourself, having a crippling fear of interacting socially with others, avoiding an event or interaction where you feel you are the center of attention, and constantly being critical of and judging oneself.

If back-to-school anxiety persists longer than the first couple weeks and if you notice that it is causing distress to the daily life of the student, meeting with a therapist may be beneficial to help the student better manage their symptoms and help them go back to school comfortably. This may increase their confidence in school or other social settings, and help them feel more comfortable and confident in their new social environments.  

If you, your child, or someone you know is experiencing back-to-school anxiety, social anxiety, or other anxiety disorders or mental health issues, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrist, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan offices respectively, at 201-368-3700 or 212-722-1920 to set up an appointment. Please visit http://www.counselingpsychotherapynjny.com/ for more information.

Sources:

https://adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/back-school-anxiety-what-parents-and

Image Source: https://www.educare.net.au/living-with-social-anxiety-personal-stories-and-coping-mechanisms/

Social Anxiety: The Impact of Social Media on Social Anxiety

Social Anxiety: The Impact of Social Media on Social Anxiety

By: Josette DeFranco

Social anxiety is very common and can be a part of your everyday living whether it is online or offline. Social anxiety means you have persistent fears about being in social situations. Social media has become society’s major way of communicating. It has allowed users to create their own distinctive profiles and content to share with others. It has been found that social media use has caused unrealistic goals and expectations. This can create low self-esteem and a lack of in-person interactions. This may lead to anxiety because you may feel like you don’t live up to your social media image. Nonetheless, it may cause you to feel judged by your choices or appearance. It is important to pay attention to your emotions when logged onto social media and to remember that others experience similar thoughts.

Should you take a break from social media?

Social media can affect individuals differently. However, if you notice social media is causing damage to your mental health, self-esteem, social interactions, and making your moods worse then you may want to consider a social media break. Having a social media break even for a week or a month could enhance your mental state, allowing you to reflect and focus on your mental health needs. It has been noticed that individuals felt more grounded and less anxious, isolated, and depressed.

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.sciencedirect.com/science/article/pii/S245195882100018X

https://www.psychologytoday.com/us/blog/thriving-with-the-challenges/202208/a-social-media-vacation-is-waiting-for-you

The Lessons of 9/11: Therapy and Resilience

By: Tehila Strulowitz

The other day I was sitting in my college Renaissance History course, learning about the joy, beauty, and creative innovation of an era that spanned three centuries following roughly 1,000 years of life so bleak and horrible that it gained an additional name: the “Dark Ages.” At one point during the lecture, my professor made an off-the-cuff remark about how since every generation spans more or less 20 years, and within that generation, everything that happens in the world is considered “current events,” the 23rd anniversary of the tragic day that is 9/11 is now considered “history.” We all sat there a little shocked and confused because how could over twenty years have passed and how could something discussed so frequently in the United States be considered history?

On the morning of Tuesday, September 11, 2001, first responders flocked by the thousands to the only building complex in the 10048 zip code in Lower Manhattan upon hearing the devastation that was unfolding in New York City. Thousands of therapists (social workers, psychologists, other mental health professionals, and so on) rushed to Manhattan in what psychologist Ghislaine Boulanger described as a “feeding frenzy” of therapists hurrying to help, (some even walking to fire stations and simply standing outside in case someone wanted therapy) all without knowing what helping would entail, all to assist in the efforts taking place in the aftermath of such a traumatic event witnessed live by hundreds of thousands of people. Boulanger, along with psychoanalyst and interfaith chaplain Margaret Klenck, described how at first the mental health professionals on the scene at that time were diving right into “the nitty-gritty” of therapy or “overmedicating people with tranquilizers and antidepressants,” when in reality, Klenck said, they were not depressed. They were traumatized and grieving, so naturally they were crying.

Psychologist Donna Bassin, who was a therapist for victims and their family members following 9/11, noticed that she was “emotionally transformed” by being a therapist during that time. “I started becoming more aware of community trauma, realizing how much people needed each other, not just 45 minutes in the psychotherapy office.” Years of trauma research and research on effective therapeutic practices have proven that most clients do not respond positively to long, detailed, and intense therapy immediately following a traumatic event. Richard McNally, a psychologist at Harvard, remarked how one of the most impactful lessons that were learned due to 9/11 was that people are far more resilient than we, specifically therapists in this case, thought.

As we look back on the past 23 years following a day that caused a loss of life for nearly 3,000 people and injured over 6,000, one lesson is starkly clear: we, as a community and as a nation, are more resilient than we think. We have built a bronze memorial, and etched in its surface the names of every single victim. We have built a new building in its place, 1,792 feet in the air, looking down over not only the historical New York City but also the 70-foot-deep memorial for the buildings. Therapists, first responders, the government, and doctors alike have all discovered new and more effective ways to deal with a country wreaked by terror and tragedy, and have created and discovered new ways to help people, built on the ashes of terror of times past.

Just like the “rebirth” that the Renaissance was, in 2024 we, too, can usher in our own enlightenment.

Psychiatric disorders associated with trauma exposure: PTSD, major depressive disorder, generalized anxiety disorder, panic disorder, and substance abuse disorders.

If you or someone you know is struggling with trauma-related disorders or with mental health in general, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

https://www.nytimes.com/2009/09/11/nyregion/11nyc.html

https://www.nytimes.com/2011/07/29/health/research/29psych.html

https://www.sciencedirect.com/science/article/pii/S2214999614002926