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Bipolar Disorder: The Impact on Family Dynamics

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Bipolar Disorder: The Impact on Family Dynamics

By, Maro Mikhaeil

Living with a family member who has a mental illness is never fun. Especially when it comes to bipolar disorder, which is a disorder where the individual will have frequent highs and lows. This can sometimes be hard on the family members as they witness their loved one struggle and take it out on the family. Individuals with bipolar disorder often go through many hardships and, unfortunately, may not always want to seek help. This can lead to broken families and trauma for other family members. Some individuals may even go undiagnosed, which leads to more devastating consequences that will derail their lives in significant ways.

Types of Bipolar Disorder:

There are two types of Bipolar Disorder: Bipolar Disorder I and Bipolar Disorder II. Bipolar Disorder I is more severe than Bipolar Disorder II and usually is characterized by several days of insomnia because of mania. Mania is characterized by increased energy, excessively high moods, extreme irritability, racing thoughts, distractibility, spending sprees, and denial that anything is wrong.  As for Bipolar Disorder II, the disorder is characterized as experiencing hypomanic episodes, but it is also accompanied by severe depression-like symptoms just as severe as Bipolar Disorder I. These disorders are treatable with medications and psychotherapy. Medications may include mood stabilizers, antidepressants, and antipsychotics to manage elevated mood and depressed episodes.

What can I do to help a loved one with bipolar disorder?

Although it can be tough to be around someone with bipolar disorder, it is also important to understand the illness and seek out a professional that can help. A person with bipolar disorder usually feels isolated because of the condition and faces obstacles on a daily basis. Supporting a family member who may be suffering from this condition is essential for their recovery. Keep in mind that people with bipolar disorder can still lead fulfilling lives, but strongly depends on their support system and their willingness to get help.

If you or someone you know is struggling with bipolar disorder or has a family member with the 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.healthline.com/health/bipolar-disorder/bipolar-1-vs-bipolar-2#treatment

https://www.heretohelp.bc.ca/infosheet/bipolar-disorder-effects-on-the-family

Insomnia: What can cause Insomnia?

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Insomnia: What can cause Insomnia?

By, Maro Mikhaeil

Insomnia is a sleep disorder that is characterized by trouble falling or staying asleep. According to the Cleveland Clinic, around one in three adults worldwide suffer from insomnia symptoms. Sleeplessness can be classified into two categories: acute and chronic. Additionally, insomnia may be a sign of a number of mental health issues or even medical conditions. There are several factors that might cause insomnia, including genetic makeup, stress, anxiety, caffeine, alcohol, and more.

Stress, whether it is from your job or school, may keep you from falling asleep. Given that anxiety causes a lot of worry, it can also interfere with your ability to sleep. Caffeine can cause insomnia because it blocks the adenosine receptor, preventing sleepiness and disrupting your sleep pattern. Additionally, studies have shown that alcohol consumption can adversely affect REM sleep, which is necessary for consistently getting high-quality sleep. Lastly, maintaining good sleep hygiene is essential since poor sleeping patterns can eventually lead to insomnia.

If you or someone you know is struggling with insomnia 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 http://www.counselingpsychotherapynjny.com/

Sources:

https://my.clevelandclinic.org/health/diseases/12119-insomnia

https://www.piedmont.org/living-real-change/how-does-alcohol-affect-your-sleep#:~:text=The%20biggest%20problem%20that%20alcohol,vivid%20dreams%2C%E2%80%9D%20says%20Dr.

https://www.nhsinform.scot/illnesses-and-conditions/mental-health/insomnia%20-%20causes

Anxiety : The Physical Symptoms

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Anxiety: The Physical Symptoms

By: Dyami Efroimson

Living with an anxiety disorder is often accompanied by experiencing persistent feelings of worry and panic over miniscule events in one’s life that are difficult to control. Alongside these feelings of worry, a variety of physical symptoms can also be experienced. Although the direct causes of anxiety are unknown, it is explained by the interaction of several factors such as genetics, the chemical makeup of the brain, and the environment.

                Some of the physical symptoms that one may experience during anxiety attacks are heart palpitations, muscle aches and pains throughout the body that have no apparent cause,  dizzy spells, and shortness of breath. These symptoms come in varying degrees of severity and can interfere with everyday life. But why do these physical symptoms occur?

                As stated before, the direct causes of anxiety have yet to be discovered; however, some symptoms can be explained. Muscle aches, for example, are a result tensing the muscles during times of heightened panic. This tensing can lead to a buildup of lactic acid that results in muscle pains almost anywhere in the body. Another result of this state of tension is ‘tension headaches’, which are pains in one’s head that are caused by heightened tension in the body.

                Commonly, those with anxiety experience pains in their chest, heart palpitations and painful tingling in their extremities. Heart palpitations occur when one becomes hyperaware of the quickness or aggression of their own heartbeat. These symptoms are most likely the result of the hyperventilation that occurs during severe anxiety attacks. Rapid breathing results in decreased blood flow, and can lead to a tingling sensation in one’s hand and feet as well as pains in the chest and change in the rate of one’s heartbeat.

                Another physical symptom experienced by those with anxiety is hypersensitivity. This is the tendency to be hyperaware of how different parts of the body feel, so the pains and discomforts that those without anxiety may be able to deal with, are exasperated. The anxious individual pays more attention to these little aches and pains, causing them to become increasingly severe and difficult to ignore.  Muscles may be tender to the touch and individuals can experience chronic pain that doctors may fail to link to a psychiatric disorder

                Living with anxiety does not simply mean feeling nervous, as some may believe. It is a disorder that affects one’s entire body, and interferes with the ability to perform day to day tasks that come easily to others. However, these symptoms can be treated with psychotherapy, CBT (cognitive behavioral therapy), and medication.

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, psychiatrist, 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/

https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

https://www.calmclinic.com/anxiety/signs/aches-and-pains#:~:text=Furthermore%2C%20muscle%20tension%20can%20also,The%20back

https://www.healthline.com/health/hyperventilation#:~:text=Low%20carbon%20dioxide%20levels%20lead,and%20tingling%20in%20the%20fingers.

Insomnia & The Digital Age  

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Insomnia & The Digital Age  By: Nicole Sanchez

Insomnia is a sleep disorder in which one may find it difficult to fall asleep, stay asleep, or both, even if one has ample time for restful sleep. With insomnia one may experience disruptions that impair the quality of one’s sleep which in turn may cause sleepiness during the day. Short term insomnia, may occur as a result of stress or may be due to certain changes in one’s schedule or environment. Short term insomnia can last for a few days or weeks. Chronic or long-term insomnia occurs at least 3 nights a week, persists longer than 3 months, and does not have another health issue that could be a root cause. Furthermore, due to technological advancements and the rise in media, there has been a particular increase in insomnia among individuals. Digital activity, especially increased screen time, disturbs a person’s sleep quality because screens emit blue light which suppress the production of melatonin, a hormone that induces sleepiness. Viewing overstimulating content before bedtime also makes it more difficult to fall asleep, thus, reducing the time that’s usually reserved for sleep.   

Chronic insomnia affects around 15 to 35 percent of adults, so it’s critical to focus on reducing the symptoms and allowing individuals to improve their sleep quality. Researchers believe cognitive behavioral therapy for insomnia (CBT-I) to be the most successful initial treatment for chronic insomnia. Through CBT-I individuals learn to reconstruct the feelings, thoughts and behaviors that are causing insomnia. Hypnotherapy is a method that can be used to help those suffering with insomnia as it helps to induce sleep and places individuals into a relaxed, trance-like state so they can let go of any anxiety.

If you or someone you know is having mental health difficulties and/ or insomnia, 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/

https://www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167

https://www.webmd.com/sleep-disorders/insomnia-symptoms-and-causes

https://my.clevelandclinic.org/health/diseases/12119-insomnia

Autism: Benefits of Early Intervention

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Autism: Benefits of Early Intervention

By, Maro Mikhaeil

According to the Centers for Disease Control and Prevention (CDC), 1 in 36 children and 1 in 45 adults are found to have autism in the U.S.

What is autism?

Autism Spectrum Disorder is characterized as a neurodevelopmental condition where challenges with social skills, repetitive behaviors, speech, and nonverbal communication may occur. The CDC says that autism can be detected as early as 18 months and may even go undiagnosed until years later. The earlier the diagnosis, the better, as early intervention is crucial for speech, communication, motor skills, and many more.

What is early intervention?

Early intervention is described as therapeutic services for young children and babies with developmental disabilities. There are many types of early intervention services used, such as speech therapy, applied behavioral analysis, occupational therapy, and more. Early intervention is found to be very beneficial as it addresses many life skills, which in turn makes so much progress for children with ASD in the long run.

It can be difficult to see a loved one struggle with autism spectrum disorder. If you or a family member 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 &
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.autismspeaks.org/autism-statistics-asd#:~:text=1%20in%2036%20children%20in,diagnosed%20with%20autism%20than%20girls.

https://www.autismspeaks.org/what-autism

https://learning.nspcc.org.uk/safeguarding-child-protection/early-help-and-early-intervention#:~:text=Why%20are%20early%20help%20and,impacting%20a%20child’s%20life%20negatively.

https://behavioral-innovations.com/blog/critical-early-intervention-children-autism-spectrum-disorder/           

Social Anxiety: Social Anxiety vs. Introversion

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Social Anxiety: Social Anxiety vs. Introversion

By, Maro Mikhaeil

People often find themselves confusing social anxiety with just being shy. This leaves many individuals go undiagnosed and may even worsen overtime. But what’s the difference?

First and foremost, social anxiety disorder is characterized as feeling symptoms of anxiety when it comes to social situations. Social anxiety is the feeling of being judged by others causing one to feel suppressed and feel unable to express oneself. One who feels symptoms of anxiety when presenting in front of a class or even have trouble making friends may be experiencing social anxiety.

However, introversion can certainly look the same as well. Introversion is characterized as being quiet most of the time in social situations and feeling more energy when spending time alone. An introverted individual spends time alone as a way of recharging for a social event and is a choice as opposed to individuals who experience social anxiety.

Individuals who experience social anxiety want to connect with others but feel held back because of the anxiety that is attached to the idea. They will often use alone time not to recharge themselves but as a way of protecting themselves and ultimately avoiding a social situation altogether.

If you or someone you know is struggling with their mental health, and may be experiencing social 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 & 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.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness#:~:text=They%20feel%20symptoms%20of%20anxiety,of%20situations%20or%20social%20interactions.

https://www.psychologytoday.com/us/basics/shyness#what-causes-shyness

https://mhanational.org/introversion-vs-social-anxiety#:~:text=With%20social%20anxiety%2C%20avoidance%20of,care%20rather%20than%20self%2Dprotection.

Motivation: How to Complete your To-Do List in the Midst of a Depressive Episode

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Motivation: How to Complete your To-Do List in the Midst of a Depressive Episode

By, Dyami Efroimson

A major symptom of depression that can make life difficult for those experiencing it is the loss of motivation. Activities one may have enjoyed in the past, no longer bring joy and everyday responsibilities feel impossible to accomplish.  

What Causes This?

With depression, there is a severe lack of dopamine which is responsible for the rewarding feeling we get when we complete at task. This chemical imbalance in conjunction with other factors like lifestyle choices, genetic predisposition, and medication causes a decrease in one’s motivation. The thought of doing any activity can feel overwhelming, causing those struggling with depression to be unable to push themselves to complete even simple tasks.

How does one deal with this lack of motivation?

The key thing is: be patient with yourself. Do not beat yourself up for not being able to do seemingly “easy” tasks. Break the task making you feel overwhelmed into smaller parts that seem a little more doable. For example, if you’re having trouble getting out of bed, start with just sitting up if you are lying down. Or if you need to clean your room, just focus on picking up one piece of clothing off the ground, then another, then another, until you have no clothes left to pick up. By breaking your projects down into simpler tasks, the larger items on your to-do list become a little more manageable. As you complete these bite-sized tasks, your motivation will slowly make its way back as you build healthy habits, and your to-do list will get smaller and smaller.

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, psychiatrist, 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/

Depression Motivation: A Brief Guide

Narcissistic Personality Disorder: Being the Child of a Narcissistic Parent

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Narcissistic Personality Disorder: Being the Child of a Narcissistic Parent

By, Dyami Efroimson

                Narcissistic Personality Disorder is characterized by having an inflated sense of importance. Those that have this disorder crave attention and admiration from those around them and have an obsession with others agreeing with their convictions. If these people feel as though they are not receiving this validation, they can be unpredictable in their reactions, sometimes lashing out at the people around them. Having narcissistic parents can result in an unstable household that leads to harmful personality traits in developing children. Some of these traits include

  1. Fawn Effect: This act of befriending and appeasing a perceived threat is also known as people pleasing and can manifest in children going along with whatever they believe will make their parents happy out of fear of retaliation. From this, their lives may begin to revolve around the happiness of others.
  2. Poor self-esteem: Because narcissistic parents desire to have the spotlight on them at all times, they may tear down their children and play off of their insecurities to then build themselves up, leading to their children holding a low opinion of themselves.
  3. Inability to set boundaries: After being trained to consider their parents wants and needs before everything, children of narcissistic parents can have trouble setting boundaries and doing what is best for themselves without feeling guilty.

                Although these traits can make transitioning into adulthood incredibly difficult for these children, it is possible for them to break out of these ingrained processes through therapy and can lead a healthy and happy life.

If you or someone you know is struggling with having a narcissistic parent or with their mental health 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 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/

Sources:

https://www.verywellmind.com/how-to-deal-with-a-narcissistic-parent-7373070

The Impact of Growing Up With A Narcissistic Parent

PTSD and Memory Loss

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PTSD and Memory Loss

By: Diane Ulloa

PTSD causes feelings of intense, disturbing thoughts and feelings related to their experience that last long after the traumatic event has ended. People with PTSD may relive their traumatic event(s) through flashbacks or nightmares and they may feel sadness, fear, or anger. They may also feel detached or estranged from other people (American Psychiatric Association). PTSD also has the ability to cause memory loss whether it be short-term or long-term, both can be affected. Four steps to fix PTSD related memory loss would be:

  1. Get treatment, therapy and medication are two of the most common treatment options for PTSD. Medication and therapy such as Cognitive Behavioral Therapy [CBT] or prolonged exposure therapy have been shown to be effective in managing PTSD.
  2.  Stay Active. By staying physically active and mentally active through brain games or learning new skills, one can help keep their brain sharp and active.
  3. Prioritize Sleep, good sleep appears to be essential for memory consolidation and processing.
  4. Use Memory Aids, which are tools that are designed to help accommodate people who experience memory difficulties which could include calendars, notepads, and alarm clocks. (healthline.com)

The types of behavioral therapy that can aid in this memory loss and other symptoms caused by PTSD are:

  • Cognitive Therapy: A type of talk therapy that helps people with PTSD recognize the cognitive patterns that are keeping them stuck, this is often paired with exposure therapy.
  • Exposure Therapy: Helps people with PTSD safely face both situations and memories that they find frightening so they can learn to cope with them effectively. This kind of therapy can be particularly helpful for flashbacks and nightmares.
  • Eye Movement Desensitization and Reprocessing (EMDR): Combines exposure therapy with a series of guided eye movements that help you process traumatic memories and change how people with PTSD react to them. (Mayoclinic.org)

Primary treatment is psychotherapy, but medication could also be prescribed as needed. Medication may include antidepressants, anti-anxiety medications, and prazosin which has the ability to reduce or suppress nightmares in some people with PTSD.

If you or someone you know is struggling with their mental health and/or PTSD (memory loss) 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.psychiatry.org/patients-families/ptsd/what-is-ptsd#:~:text=People%20with%20PTSD%20have%20intense,or%20estranged%20from%20other%20people.

https://www.healthline.com/health/mental-health/memory-loss-and-ptsd#causation

https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/diagnosis-treatment/drc-20355973#:~:text=For%20PTSD%2C%20cognitive%20therapy%20often,helpful%20for%20flashbacks%20and%20nightmares.

Post-Grad Depression

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Depression/Post-College

By: Ingrid Guevara

Everyone knows and acknowledges that depression during college occurs. Statistics show that twenty-seven percent of college students had been diagnosed with depression and twenty-three percent said that depression impacted their academic performance negatively.  When it comes to post-grad students research shows that around twenty percent of student graduating experience depression. Post-grad depression is seen as situational depression. Situational depression is depression caused by a stressful or traumatic event. Post-Grad depression is caused by; pressure of finding a job, moving back in with parents, feeling a failure to launch, changes in friendships (friends scattering, not seeing them), student debt, comparison with friends and being overwhelmed by next steps and changes. Signs of post-grad depression are; lack of motivation, feeling worthless or guilty, loneliness, overwhelm (especially related to the next steps), feeling sad or down, isolation or wanting to isolate oneself, not enjoying activities that were previously enjoyed, poor sleep, appetite change, lower than usual frustration tolerance, feeling sluggish or super jittery and intense fear or expectation things will not go well in the future. Post-grad depression like any depression can really hinder your life so seeking help is suggested in order to properly cope with it. It is also suggested; avoiding comparing yourself with others, practice self-kindness and self-love, reach out to friends,  get some exercise/movement, don’t be too hard on yourself, recognize that transitions are difficult, find a support group/networking group, take care of yourself and confide in trusted family and friends. Depression is common when life is stressful and one feels pressure therefore, it is okay because always remember you are not alone.

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 http://www.counselingpsychotherapynjny.com/

References

Post-Graduation Depression: Causes & How to Cope
College Student Mental Health Statistics

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9091131/