psychologist bergen county nj

Narcissistic Personality Disorder: Being the Child of a Narcissistic Parent

GalleryJudy Gurfein Leave a comment

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

GalleryJudy Gurfein Leave a comment

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

GalleryJudy Gurfein Leave a comment

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/

Toxic Relationships and their effects on Mental Health

GalleryJudy Gurfein Leave a comment

      Mental Health/ Toxic Relationships

By: Ingrid Guevara

A relationship where the behaviors of one person in the relationship are emotionally and, in some cases physically damaging to the other, is what is defined as a toxic relationship. In a toxic relationship you see behaviors like: constant belittlement, guilt-tripping, extreme jealousy, blaming and using manipulation to fulfill personal desires. Such behaviors take a tremendous toll on a person’s mental health. Toxic relationships lead to decline in self-esteem, energy levels and your overall happiness. Being in a toxic relationship creates feelings of insecurities and self -doubt which also leads the person to live in extreme caution while in the relationship. Realizing that a relationship is toxic is a crucial step in prioritizing and protecting your mental health. Then comes taking steps to setting boundaries, seeking support from loved ones or professionals and engaging in activities that bring you joy, all things that promote healing and personal growth. Always keep in mind that everyone deserves a nurturing and healthy relationship. It is okay to step away from relationships that negatively affect your mental health because your mental health is crucial and should always be put first.

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:

https://primebehavioralhealth.com/how-toxic-relationships-affect-your-mental-health/#:~:text=Toxic%20relationships%20can%20severely%20affect,navigate%20the%20relationship%20with%20caution.

Binge Eating Disorder

GalleryJudy Gurfein Leave a comment

Binge Eating Disorder

By: Cosette Verna

Binge eating disorder (BED) is an eating disorder characterized by consuming extreme amounts of food and feeling unable to stop eating. This is different than overeating at a meal- BED is driven by a compulsion to continue eating and being unable to resist the urges, despite extreme fullness and cognitive awareness of overeating.

Behavioral symptoms of BED include (but are not limited to) feeling like eating behaviors are out of control, binging on unusually large amounts of food in a short time frame, eating despite feelings of fullness, eating in secret, deep feelings of shame, disgust, depression, and/or guilt surrounding eating, and eating rapidly during binges.

Emotional and behavioral signs of BED include (but are not limited to) frequent dieting, extreme concern around body weight, disruption in normal eating behaviors, frequent body checking (e.g., obsessively looking in the mirror to check appearance) the development of food rituals (e.g., using particular cutlery, excessive chewing), eating alone out of shame or embarrassment, and feelings of low self-esteem. Physical signs of BED include noticeable weight fluctuations, gastrointestinal pain, and difficulties concentrating.

If you or someone you know is struggling with binge eating 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/

References:

https://www.mayoclinic.org/diseases-conditions/binge-eating-disorder/symptoms-causes/syc-20353627

https://www.nationaleatingdisorders.org/learn/by-eating-disorder/bed

Depression: Does Social Media Cause Depression?

GalleryJudy Gurfein Leave a comment

Depression: Does Social Media Cause Depression?

By: Michelle Chinchilla

Around 4.62 billion of us are engaging on social media platforms. You can like someone’s post or share a picture or video- there is always a new update or post. After endless amounts of scrolling it can be pretty tiring. Social media as a whole can make a person feel so many different ways: meaningful, euphoric, isolated, and even depressed.

What type of depression can social media be caused by?

Social media isn’t inherently harmful to your mental health, especially if it doesn’t replace other forms of healthy social interaction. However, exposure to harmful behavior and rhetoric through social media can impact your mood and even cause depressive symptoms. Comparison, jealousy, addiction, and many more are reasons to feeling down.

Prevention

Do you notice you’re feeling more sad, lonely, isolated, or depressed when you spend time on social media? Or do you walk away feeling recharged, or like you have spent your time meaningfully? If you have an iPhone, consider using the “Screen Time” feature to track how you’re using your phone. When social media becomes too distracting, consider turning off notifications for a while or removing the app from your phone until you feel like you’re in a better place to log in again.

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

Reference: https://psychcentral.com/depression/does-social-media-cause-depression#tips

Anorexia Nervosa

GalleryJudy Gurfein Leave a comment

By: Cosette Verna

Anorexia Nervosa (anorexia) is an eating disorder characterized by abnormally low body weight, distorted perception of weight, and intense fear of weight gain. These distortions may cause behavioral symptoms in those suffering from anorexia, including excessive exercise, severe restriction of food intake, calorie counting, and abuse of diuretics, laxatives, or enemas.

Anorexia is typically a manifestation of one’s emotional issues and feelings of inadequacy, to which one strives for extreme thinness as a measure of self-worth. Physical symptoms of anorexia include (but are not limited to) extreme weight loss, loss of menstrual cycle, fatigue, insomnia, dizziness/fainting, constipation, hair breakage, irregular heart rhythms, dehydration, growth of body hair, and dry and/or yellowish skin.

Though anorexia is typically associated with extreme low body weight, those suffering from Atypical Anorexia Nervosa are not to be overlooked. Atypical Anorexia Nervosa patients have all the symptoms of anorexia aside from extreme thinness, and have typically been overweight historically. Though they may physically appear to be in a healthy weight range, their body is under extreme stress in order to maintain a weight that is not healthy for the individual. Atypical anorexia is just as serious as anorexia- percentages of those hospitalized with atypical anorexia is similar to hospitalizations from typical anorexia.

If you or someone you know is struggling with anorexia nervosa, 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:

https://www.mayoclinic.org/diseases-conditions/anorexia-nervosa/symptoms-causes/syc-20353591

https://childmind.org/article/what-is-atypical-anorexia-nervosa/

Emotional Dysregulation Disorder: What is it?

GalleryJudy Gurfein Leave a comment

Emotional Dysregulation Disorder: What is it?

By Sherry Yang

Emotional dysregulation disorder (EDD), also known as borderline personality disorder, is a mental illness that is characterized by severe emotional instability. Those with EDD are constantly changing their feelings about themselves and others, and only feel emotions on extreme levels. EDD significantly affects impulsivity, self-image, and relationships. It can be caused by family history, brain structure, or environmental factors such as trauma. Symptoms may include:

  • A pattern of unstable relationships with loved ones
  • Distorted and unstable sense of self
  • Impulsive and possibly dangerous behaviors
  • Self-harming or suicidal thoughts
  • Difficulties controlling anger
  • Feelings of dissociation
  • Intense and unstable moods and emotional episodes
  • Problems with real or perceived abandonment

Although EDD may appear similar to another mental illness, bipolar disorder, these two are notably different. Bipolar disorder causes extreme mood swings with emotional highs and lows; the highs are feelings of mania and the lows are feelings of depression. This disorder does not have as much emphasis on relationships and self-image, which are key to EDD.

If you or someone you know is struggling with emotional dysregulation 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 and Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively at (201)-368-3700 or (212)-722-1920 to set up an appointment. For more information, please visit https://www.counselingpsychotherapynjny.com

References:

https://www.nimh.nih.gov/health/publications/borderline-personality-disorder

https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/symptoms-causes/syc-20355955

Postpartum Depression: New Mothers

GalleryJudy Gurfein Leave a comment

Postpartum Depression: New Mothers

By Sherry Yang

Giving birth to a child is a major life change for any new mother. 1 in 9 new moms will experience postpartum depression, which impacts those with a personal or family history of depression or bipolar disorder, as well as those with life factors that have already put them at risk of depression. Affected mothers may have feelings of intense depression and emptiness that significantly interfere with their lives and motherhood for longer than 2 weeks after childbirth. Insecurities, stress, mood swings, and feeling sad or overwhelmed are relatively common, but if these symptoms are severe and do not pass within a few days, they are likely signs of something more serious. Symptoms of postpartum depression may include:

  • Lack of interest or connection with the baby
  • Thoughts of hurting yourself or the baby
  • Feeling worthless, guilty, or like a bad mother
  • Lack of energy, motivation, or focus
  • Self-isolation and loss of interest in activities usually enjoyed
  • Poor eating and sleep patterns
  • Difficulty taking care of yourself or your baby

If left untreated, effects can continue to impact the baby’s childhood, the mother’s later parenting, and their relationship. Some mothers with postpartum depression might avoid seeking help out of embarrassment or guilt for feeling this way after the birth of a new child. However, this absolutely does not mean someone is a bad mother, and reaching out to professionals can provide a path to effective treatment.

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

Reference: https://www.womenshealth.gov/mental-health/mental-health-conditions/postpartum-depression

Facilitating Medication Compliance

GalleryJudy Gurfein Leave a comment

Facilitating Medication Compliance

By: Irene Tussy

No matter how effective a medicine is, it will only work for a patient if it is taken properly. Patient health outcomes are evaluated based on the eradication or recurrence of symptoms, emergency room visits, hospitalization, readmission rate, morbidity, and mortality. Medication noncompliance contributes to all these factors, as well as an increase in the cost of healthcare and increased spending on healthcare.

Education is the most effective tool to combat medication noncompliance, and it is equally important that all involved in a patient’s care are educated. The responsibility for compliance is shared by both patient and doctor. Prescribers need to be aware of the importance of communicating clearly with their patients about the medicines they prescribe.  This includes having a conversation about what they are treating and why, as well as addressing not only the side effects of the medicine but the effect of not taking the medicine as well. Prescribing instructions need to be clear and should be reviewed with the patient before dismissal, in writing if at all possible. 

Another important factor for prescribers to review with their patients is the dosage regimen. Patients may be more likely to adhere to a single-dosing approach than they are to a multi-dosing approach. Extended release medications are a great option to consider. If a single-dosing regimen is not possible or is more efficacious, the prescriber needs to make sure that the patient understands the potential repercussions of missing doses.

Pharmacies also play an important role in medication compliance. Automatic refills or refill reminders should be offered to all patients. Text messaging or automated phone calls are viable options. If a patient cannot afford medicine, pharmacies should make available patient information pamphlets from drug companies that often provide a sliding scale or other options to make their drugs more available to those in need. For their part, drug companies need to offer price reductions or sliding scale options to their patients from all socioeconomic backgrounds.  They should also evaluate dosing schedules and try to offer more extended release options on a regular basis. Creating multiple formulations may be useful, such as pills, capsules that tend to be easier to swallow, or liquid for those with dysphagia.

Ultimately, the responsibility for medication compliance lies with the patient, after all, it is their health and well-being that is at risk. A regular medication regimen needs to be set up at home, while on vacation, or on a business trip. Patients should never leave their doctor’s office with unanswered questions about their medications, and if any arise after the visit, a phone call needs to be made to the office as soon as possible, before the question is forgotten. 

If you or someone you know is struggling with medication compliance, 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 Psychotherapy & Psychiatric Services. Contact our Manhattan, NY or Paramus, NJ offices respectively at (201)368-3700 or (212)722-1920 to set up an appointment. For more information, please visit https://counselingpsychotherapynjny.com

Reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9498383/