Post-College Anxiety

Post-College Anxiety

By: Julia Massa

Post-college anxiety, or Post Commencement Stress Disorder, though not an official medical diagnosis, is used to describe the uncertainty and anxiety college graduates often feel as a result of their achievement. With both internal and external expectations to “measure up,” graduates find themselves conflicted, depressed, and pressured. Graduates may fear failure due to not finding a job as well as feel pressured to pay back their student debt without having a secure job or realizing that career path just isn’t for them. Furthermore, they may feel alone due to moving back home and changing their social contexts. In fact, 53% of 18-to-24 year old graduates live with their parents after graduation. Homesickness is a cycle, perhaps.

From being a student at the mere age of five to an actual member of society can lead to an identity crisis. Additionally, college students may have trouble sleeping, concentrating, become less interested in socializing, experience shortness of breath or rapid heart rate, feel a lack of control of their life, or numb these feelings with alcohol, drugs, or binge-eating.

Feeling nervous about the future is a normal reaction to uncertainty, especially if you thrive on consistency and routine. Graduates can address feelings of uncertainty by practicing test runs for job interviews, “zooming in” and looking at each step, getting feedback from multiple resources like resume writers or networking events, and embracing the chaos. When life becomes complex, it is important to practice self-care and remind yourself that it is not a bad day- just a complex one. Moreover, if a graduate is stressed about finances, they can be financially proactive and learn banking, create an emergency fund, SAVE little by little, or create a realistic payment plan to pay off their loans. 

Graduating is a bittersweet experience. Adjusting to change can be scary, but in the case of college grads, they are on the path to prosper. Though it is easier said than done, it is important to embrace each chapter and live day by day.

If you or someone you know is struggling with post-college 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


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Depression: Burning Out

Depression: Burning Out

By Toniann Seals

While living in a face paced society burn out is typically inevitable. Maybe you have a stressful job, heavy course load at school or personal/family issues going on. These problems you may face in your lifetime could bring excessive stress and lead to burn out.

Signs of Burn Out:

  • Excessive or too little sleep
  • Not making time for your hobbies
  • Dreading the next day/negative thoughts
  • Overworking

After burn out occurs many people find themselves stuck at a standstill. They are not able to move forward in their work or complete simple daily tasks. Once you notice the signs above, take action immediately to help yourself.


  • Lowered Self Esteem
  • Less productivity
  • Feelings of not being enough
  • Lack of happiness

If you or someone you know is suffering from burn out speak with one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists. Contact us at our Paramus, NJ or Manhattan, NY offices at (201) 368-3700 or (212) 722-1920 respectively to set up an appointment. For more information, visit


Body Image: Body Dysmorphic Disorder Treatment

By Samantha Glosser

Body dysmorphic disorder, sometimes referred to as body dysmorphia or BDD, is a mental disorder characterized by preoccupation with imagined or markedly exaggerated imperfections or defects in one’s physical appearance. Those suffering from body dysmorphic disorder spend a significant amount of time every day obsessing over their appearance and engaging in repetitive compulsive behaviors in an attempt to avoid anxiety, distress, and hide their imperfections. Signs and symptoms include constantly checking one’s appearance, excessive grooming, over-exercising, picking skin, pulling hair, using makeup or clothing to camouflage one’s appearance, or even getting plastic surgery. Body dysmorphic disorder leads to significant impairment in daily functioning and quality of life. However, there are treatment options available.

Cognitive-behavioral therapy (CBT). CBT is short-term, goal-oriented therapy. In body dysmorphic disorder, CBT is used to decrease compulsive behaviors and the negative thoughts about one’s appearance. This is achieved through techniques such as cognitive restructuring and mind reading. Cognitive restructuring teaches the patient to challenge irrational thoughts about their bodies and replace them with more realistic and adaptive thoughts. In addition to their own negative thoughts, individuals diagnosed with body dysmorphic disorder also believe others hold the same negative thoughts about them. Mind reading allows patients to understand that other people do not share these thoughts about them and provides realistic alternatives. For example, that person staring at them at the mall was probably admiring their outfit. Another frequently used technique is exposure therapy. This requires patients to create a hierarchy of anxiety-provoking situations which they are then exposed to in order to overcome anxiety and distress.

Psychiatric medications. Research has also shown that antidepressant medications are an effective treatment for body dysmorphic disorder, specifically selective serotonin reuptake inhibitors (SSRI’s). SSRI’s that are commonly used for the treatment of body dysmorphic disorder include Lexapro, Prozac, Paxil, and Zoloft, among others. SSRI’s help to reduce obsessional thinking, compulsive behaviors, and depression, a common comorbid disorder among individuals diagnosed with body dysmorphic disorder.

If you or someone you know appears to be suffering from body dysmorphic disorder, or other problems associated with negative body image, 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


Source: Tartakovsky, M. (2016, July 17). Demystifying treatment for body dysmorphic disorder. Retrieved from