Self-Harm: What You Need To Know

About 17% of all people will self-harm during their lifetime, however the actual rate is likely higher than this because of the shame and stigma that surrounds self-harm. Individuals self-harm as a way to deal with difficult feelings, or overwhelming situations and experiences, and can include cutting, burning, and scratching oneself. Self-harm can be difficult to understand, and can sometimes be confused with suicide attempts. Self-harm and suicide attempts are not the same thing, however, there is a strong association between the two. One common stereotype of self-harm is that it is “attention seeking”. The reality is that most self-harm is done in secrecy, and individuals often feel ashamed to ask for help.

There are several self-harm risk factors. These include struggling with mental health conditions, such as depression, anxiety, personality disorders, drug and alcohol use or addiction, and eating disorders. Self-harming can become physically addictive, as it is habit-forming, and individuals can come to rely on it as a coping mechanism for what they are going through.

Sharing your feelings with someone that you trust can help you self-harm less and feel less alone. If someone has disclosed to you that they engage in self-harm, it is important to be patient and educate yourself on why people self-harm and what you can do to help.

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

Sources

https://www.mind.org.uk/information-support/types-of-mental-health-problems/self-harm/about-self-harm/

https://www.therecoveryvillage.com/mental-health/self-harm/self-harm-statistics/

https://www.rethink.org/advice-and-information/about-mental-illness/learn-more-about-symptoms/self-harm/

Image Source

https://rcni.com/nursing-children-and-young-people/careers/research-and-commentary/improving-nursing-care-of-children-and-young-people-who-self-harm-81661

Borderline Personality Disorder in Men

Borderline Personality Disorder in Men

By Jenn Peraza

Borderline Personality Disorder (also known as BPD) is a personality disorder that is categorized in the DSM-V by intense fears of abandonment, emotional instability in everyday life and relationships, and a distorted sense of self. Studies have found that while BPD is equally as prevalent in men as it is in woman, statistically speaking, seventy-five percent of people with BPD are female. So why are females most likely to get diagnosed with BPD?

While the criteria for men and women with BPD are the same, men and women are more likely to exhibit different maladaptive behaviors. Women will most likely self-harm through eating disorders and cutting while men will more likely self-harm using substances and head banging. Due to this, men are more likely to end up in prison for violent behavior while women are more likely to seek mental health resources to deal with their self-harm.

There’s also a societal stigma around men receiving mental health help. While women are seen as emotional creatures, men are seen as unemotional and are told to “suck it up” or “man up” when they’re upset. Another factor is that the maladaptive behaviors of BPD are discouraged in women and encouraged in men. Men who have tumultuous relationships, aggressive behavior, and exert violent behavior are more likely praised in society than women who express the same symptoms.
Despite this, it is necessary to clear one’s mind of what is seen as typical behavior for men and to encourage the men in your lives to seek mental health help. By overcoming stigmas, more men can receive the necessary help for BPD and live fulfilling lives.

If you or someone you know is seeking therapy for a personality disorder, 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/

SOURCE:  https://www.verywellhealth.com/borderline-personality-disorder-in-men-5096081

Dependent Personality Disorder

By: Lauren Zoneraich

Dependent Personality Disorder (DPD) is characterized by an overdependence on others to feel secure and function. A personality disorder is defined by the possession of an unhealthy and unwavering way of thinking, functioning, and behaving. People with personality disorders often experience difficulty in relationships, school, work, and social situations because their unhealthy cognitions often lead to problematic behaviors that may upset or bother people in their life.

For those with DPD, it feels impossible to function without the help and support of others. This overwhelming reliance on others for emotional and physical security causes an intense fear of abandonment, often leading to anxious behaviors that partners or friends may describe as “needy” or “clingy.” Anxious behaviors include being overly passive or submissive, being unable to disagree with others, and tolerating poor treatment by others. People with DPD would rather stay in a bad relationship than be by themselves. When relationships end, people with DPD may feel depressed. Immediately, they may begin searching for new relationships, as the thought of being alone is unfathomable.

People with Dependent Personality Disorder often lack self-confidence and self-efficacy. As a result, they cannot make decisions, even small decisions, without the approval or validation of others, nor start projects on their own.

There are no direct causes for DPD, but there are some risk factors that may contribute to its development. These risk factors include traumatic abandonment during childhood, a family history of personality disorders, a family history of anxiety or depression, and chronic childhood illness. Also, growing up with withdrawn, abusive, or overly- controlling parents is a risk factor for DPD.

Psychotherapy can help one address the symptoms of DPD, specifically Cognitive Behavioral Therapy and psychodynamic therapy. CBT can help one learn to reframe one’s cognitions, while psychodynamic therapy can help one become conscious of the roots of one’s personality disorder.

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

Sources:

https://www.sheppardpratt.org/knowledge-center/condition/dependent-personality-disorder/

https://www.healthline.com/health/dependent-personality-disorder

https://www.webmd.com/anxiety-panic/guide/dependent-personality-disorder

https://www.mayoclinic.org/diseases-conditions/personality-disorders/symptoms-causes/syc-20354463

Image Sources:

https://www.betterhelp.com/advice/personality-disorders/what-is-dependent-personality-disorder-and-what-does-it-mean-for-me/

Personality Disorders: What are they?

By: Elyse Ganss

According to the Mayo Clinic, “a personality disorder is a type of mental disorder in which you have a rigid and unhealthy pattern of thinking, functioning and behaving.” Those who have personality disorders struggle when interacting and trying to get along with others and tend to think their erratic thoughts are normal. Personality disorders can be grouped into three different clusters.

Cluster A is characterized by odd/suspicious thinking or behavior. Examples of cluster A personality disorders are paranoid personality disorder, schizoid personality disorder, and schizotypal personality disorder. Cluster B includes emotional/impulsive behavior, dramatic tendencies, and unpredictable thinking. Examples include antisocial personality disorder, borderline personality disorder and narcissistic personality disorder. Finally, cluster C is characterized by anxious thinking and behavior. Avoidant personality disorder, dependent personality disorder, and obsessive-compulsive personality disorder are examples of cluster C personality disorders.

Personality disorders occur through an interaction of genetic and environmental influences. Risk factors for personality disorders include a family history of mental illness, an unstable or abusive childhood, and variations in brain chemistry. Typically, personality disorders emerge in teenage or emerging adulthood years. Through the combination of therapy and medication, personality disorders can be managed.

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

Sources:

https://www.mayoclinic.org/diseases-conditions/personality-disorders/symptoms-causes/syc-20354463#:~:text=Overview,relating%20to%20situations%20and%20people.

https://www.healthline.com/health/personality-disorders#outlook

Image Source: https://psychcentral.com/news/u/2019/05/therapy-teenage-girl-psychologist-large-bigstock-1024×76

Antisocial Personality Disorder

By: Estephani Diaz

Antisocial Personality Disorder is defined as a long term pattern of having no care for others, manipulating people and violating people’s rights. People with Antisocial Personality Disorder have a strong, intense concern for themselves and no one else. Less than 3.5% of the population are diagnosed with this personality disorder. In fact, males are 70% more likely to be diagnosed with APD than females. Although the disorder is rare, it can lead to consequences, death and harm for others.

People with Antisocial Personality Disorder are often referred to as psychopaths or sociopaths. They show symptoms such as:

  • Failure to conform to social norms
  • Deceitfulness
  • Impulsivity
  • Irritability and aggressiveness
  • Reckless disregard
  • Consistent irresponsibility
  • Lack of remorse

APD can begin at a young age, however, it cannot be diagnosed in those younger than 18. As one gets older, it has been reported that symptoms decrease with age. Some of the most common symptoms for those with Antisocial Personality Disorder are:

  • Substance abuse
  • Homicide/suicide
  • Prison
  • Gang membership
  • Low socio/economic status
  • Other symptoms include: depression and anxiety

If you or someone you know is struggling with Antisocial Personality Disorder, 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/.

Psychopaths and Sociopaths

By Stephanie Osuba

People often tend to use the terms psychopath and sociopath interchangeably while both disorders are listed under the category of antisocial personality disorders in the DSM-5, there are some distinctions. Shared traits between the two include: a disregard for the law, morality, and human rights; not feeling any remorse; and having violent tendencies.

The first major distinction is that psychopaths are born, while sociopaths are made. Psychopaths are a product of genetics and, from research, they have a physiological defect that leads to an underdevelopment of the part of the brain responsible for impulse control and emotion (the amygdala). Sociopaths, on the other hand, are a result of a history of repeated childhood trauma and physical or emotional abuse. Because of this distinction, sociopaths are capable of forming attachments and feeling empathy in very restricted situations. They are more emotional in that they are nervous and easily agitated. They are prone to emotional outbursts and exhibit fits of rage. Crimes committed by sociopaths are often spontaneous, messy, and unorganized.

Psychopaths are exceptionally dangerous. They are completely incapable of forming attachments to anything and have absolutely no remorse for the things they do. They simply do not feel. Psychopaths are excellent manipulators who mimic emotion to get people to trust them. They are often very successful, smart, and charismatic which leads others to believe that they are normal. Some psychopaths even have families and other long-term relationships with people who are unaware of their diagnosis. Crimes committed by psychopaths are meticulous, premeditated, and often have a contingency in place. Even the violent ones. Psychopaths make up at least 40% of all serial killers.

Source: Bonn, S. A., Ph. D. (2014, January 22). How to Tell a Sociopath from a Psychopath. Retrieved from https://www.psychologytoday.com/us/blog/wicked-deeds/201401/how-tell-sociopath-psychopath 

If you or someone you know appears to be exhibiting signs of psychopathy or sociopathy, 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/.

Borderline Personality Disorder (BPD)

By: Estephani Diaz

Borderline Personality Disorder is a complex disorder with no certain explanation as to what causes it. This disorder is so uncommon, that it only affects about 5% of our population. It is considered to be a combination of schizophrenia, anxiety, impulsiveness, severe mood swings, etc. In order to be diagnosed with Borderline Personality Disorder, also known as BPD, you must have at least five out of the nine symptoms listed below:

  1. Perceived or real fears of abandonment
  2. Intense mood swings, severe depression or anxiety
  3. Impulsiveness
  4. Unstable intense relationships
  5. Self-injurious and suicidal behaviors
  6. Chronic feelings of emptiness
  7. Inappropriate, intense anger and rage
  8. Unstable sense of self
  9. Dissociation and feelings of detachment

Any combination of the symptoms above, can lead to family problems, ruin relationships, and cause anxiety, depression, and/or anger. BPD can last from a year to a lifetime. Those with BPD are recommended to seek talk therapy or group therapy. Medications can also be used, however, they would only be needed if one has a severe case of depression and/or mood swings. If help is not found, people with BPD have a high chance of abusing drugs, committing suicide, or worsening relationships with loved ones.

If you or someone you know is suffering from Borderline Personality Disorder, 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/.

Narcissism: 5 Major Signs You’re Missing

By Stephanie Osuba

According to PsychCentral.com, there are a few trademark signs of a narcissist that are pretty hard to miss. They all think the world revolves around them and are very much preoccupied with themselves, their preferences, needs, success, and, most importantly, how they are viewed by other people. Even more important still, their aesthetics.

Narcissism usually stems from a major attachment dysfunction, whether from parents or primary caregiver, and that dysfunction is attributed to a major emotional trauma or a culmination of repeated trauma or neglect. This separation or attachment trauma stunts emotional capacity and maturity, usually from an age of adolescence. Because the emotional pain is too much to bare, the child than creates a false persona in order to cope and have the world perceive them to be better off than they actually are. On the other hand, narcissism can also be attributed to overindulgence from parents when their child does the bare minimum.

Here are 5 major signs a narcissist exhibits:

  1. False Humility: A narcissist may put him or herself down on purpose and bait you into complimenting them. They are attention-seeking and have a need for their ego to be stroked constantly.
  2. Lack of Empathy: Because they are only interested in fulfilling their own agendas, narcissists often see people as things to be used. Once you have given them what they wanted, emotionally or physically, they discard you and don’t feel guilty about it. Narcissists are selfish and their relationships are very much one-sided as they are expecting of others to constantly serve them and give nothing in return.
  3. Immature Responses: Narcissists are extremely reactive and highly sensitive people. The slightest criticism can be perceived as the highest of offenses. They blow perceived or actual threats out of proportion and often blame others for their reactivity. Narcissists will also often become passive-aggressive when dealing with a situation that angers them or engage in childish bullying.
  4. Simplification of Other’s Needs: In short, narcissists don’t care about your problems, only their own. They will find a way to minimize any situation that isn’t worth their time in order to brush it off as stupid or useless. Belittling emotions and deflecting in order to blame others is also a common tactic.
  5. Inability to Listen: Narcissists will often give generic advice if forced to speak and not ask questions during a conversation in order to keep dialogue to a minimum. They don’t care about your emotions or what you have to say unless it benefits them.

If either you or anybody you know may be suffering from narcissistic personality disorder, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can help 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 us at https://www.counselingpsychotherapynjny.com/.

Source: Bogdanos, M. (2017, July 11). 5 Signs of Covert Narcissism. Retrieved from https://psychcentral.com/blog/5-signs-of-covert-narcissism/

Conduct Disorder

Conduct Disorder

By: Leah Flanzman

Conduct disorder is a behavioral disorder seen in children who display behaviors that deviate from societal norms and violate a number of social rules. Conduct disorder will typically present itself before the age of 16, and can have both genetic and environmental influences. According to the Diagnostic and Statistical Manual of Mental Disorders IV (DSM IV-TR), this disorder is being increasingly diagnosed in more and more children throughout the United States. In the past few years, prevalence rates of children exhibiting symptoms of conduct disorder skyrocketed to as high as 10%.

Conduct disorder is typically divided into two types, childhood onset and adolescent onset, which are distinguished from one another by the age at which symptoms begin appearing. Childhood onset conduct disorder is diagnosed before 10 years of age, and adolescent onset is diagnosed if the symptoms arise after 10 years of age. Childhood onset is believed to be the more serious condition between the two and more resistant to treatment

The symptoms of conduct disorder can be broken down into four main categories. A child or adolescent is likely to have conduct disorder if they consistently display aggressive conduct, deceitful behavior, destructive behavior, or a violation of rules. Examples of aggressive conduct can include intimidating or bullying other children, physically harming people or animals with malicious intentions, or using a weapon. Deceitful behavior can be seen through lying, stealing, or breaking and entering.   Individuals will display destructive behaviors by intentionally destroying or vandalizing properties, and individuals will violate rules by skipping school, running away, or prematurely abusing drugs and alcohol.

A distinction lies in how the symptoms of conduct disorder are manifested between the genders, as it is more frequently diagnosed in boys. Boys are more likely to fight, steal, vandalize school property, and break school rules, whereas girls are more likely to lie, run away from home, use drugs, and engage in early sexual activity. Conduct disorder is unique in the fact that it is not always recognized as a mental illness, so treatment is commonly neglected. Early intervention for Conduct Disorder yields the greatest possibility for an improved long-term outcome so if symptoms begin to arise, seeking help immediately can be extremely beneficial.

If you or a person you know is struggling with conduct disorder, it may be beneficial to have them contact a mental health professional and receive therapy for their illnesses. The psychologists, psychiatrists, and therapists at Arista Counseling and Psychiatric Services can help.  Contact the Bergen County, NJ or Manhattan offices at (201) 368-3700 or (212) 722-1920.  Visit http://www.acenterfortherapy.com for more information.

Histrionic Personality Disorder

By: Cassie Sieradzky

Histrionic personality disorder is characterized by constant attention-seeking behaviors, a tendency to describe situations in an emotional manner, and discomfort when not the center of attention. Someone with this disorder may appear to be self-centered, flirtatious in inappropriate situations, and overly dramatic. Individuals with histrionic personality disorder may use their appearance to draw attention and their over the top emotions seem shallow and frequently shifting.

For a diagnosis of histrionic personality disorder to be given, five or more of the following symptoms must be present:

  • Self-centeredness, uncomfortable when not the center of attention
  • Constantly seeking reassurance or approval
  • Inappropriately seductive appearance or behavior
  • Rapidly shifting emotional states that appear shallow to others
  • Overly concerned with physical appearance, and using physical appearance to draw attention to self
  • Opinions are easily influenced by other people, but difficult to back up with details
  • Excessive dramatics with exaggerated displays of emotion
  • Tendency to believe that relationships are more intimate than they actually are
  • Is highly suggestible

The cause for this disorder is unknown, but research suggests that early childhood experiences and genetics are involved. The recommended treatment for this disorder is psychotherapy.

If you or a loved one appears to be suffering from histrionic personality disorder, 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/

Histrionic Personality Disorder. (2017, April 19). Retrieved February 06, 2018, from https://www.psychologytoday.com/conditions/histrionic-personality-disorder