Suicidal Ideation: The Inner Voice of Chaos

Suicidal Ideation: The Inner Voice of Chaos

By: Elizabeth Lynch

              Having a mental illness can be extremely scary especially when suicidal thoughts creep into the mind. These thoughts are known as suicidal ideations; which are not uncommon in people suffering from mental illnesses such as depression, bipolar disorder, schizophrenia, and other mood disorders. Suicidal ideations often consist of frequent thoughts about committing suicide but they can extend as far as incomplete attempts. Not everyone with a mental illness attempts suicide. However, many have fleeting thoughts about it which can grow into a more dangerous situation if left unaided.

If you or someone you know may attempt suicide or are experiencing any of the following actions, get immediate help now!

Please call 911 or the suicide hotline 1-800-273-8255

  • Detailed planning
    • Having a step by step plan
  • Role playing
    • Sitting with a bottle of pills or standing on a chair with a noose
  • Incomplete attempts
    • Usually constructed not to be completed or discovered
    • May be fully intended to cause death

If you or someone you know is feeling suicidal or experiencing any of the following thoughts please seek medical help from your doctor or mental health professional:

  • Fleeting thoughts
    • Example: “I’m nothing” or “I’m worthless”
  • Extensive thoughts
    • Example: “I wish I was dead” or “the world would be better without me”
  • Intrusive thoughts
    • Example: “I could crash my car right now”

Additional Warning Signs:

  • Withdrawal from social contact
  • Mood swings
  • Changing of routines
  • Self-destructive actions
    • Increase use of drugs and alcohol, reckless driving
  • Giving away personal belongings for no logical reasons
  • Acquiring the means to commit suicide
    • Stockpiling pills, unexplained purchases of razor blades, knives, or guns
  • Unexplained notions of love followed by a goodbye that is seemingly to final

If you or a loved one appears to be suffering from Suicidal Ideations, 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/

 

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Self-Harming

Self-Harming

By: Liz Lynch

Self-harming is classified by the Statistical and Diagnostic Manual of Mental Disorders (DSM-5) as non-suicidal self-injury disorder (NSSID). It is an actual disorder that many people often write off as an angsty teens way of getting attention. While self-harming often starts in the teenage years it can persist long into adulthood which has a number of physical, emotional, and social consequences. To most people self-harming is an obvious thing not to do; however, what they don’t realize is that self-harming releases soothing, pain-killing chemicals such as endorphins and endocannabinoids which brings on a feeling of relief.

Why doesn’t everyone do it then? Well research suggests that people who self-harm have significantly lower levels of these naturally produced endorphins. This mean that some people are in a way compensating for these lower levels by self-harming just to feel “normal” without even realizing it. This disorder can bring on a lot of shame and guilt for the sufferer causing them to hide their personal abuse making it more difficult to identify and aid.

Types of Self-harming:

  • Cutting
  • Scratching
  • Burning
  • Biting
  • Hitting or punching one’s self
  • Banging head or other body parts against another surface
  • Piercing the skin with sharp objects (not including body jewelry)
  • Pulling out hair
  • Abusing alcohol / medication

Reasons people self-harm:

  • Provides them with temporary relief of negative emotions
  • Provides them with a distraction from chaotic thoughts and emotions
  • Provides them with a sense of control
  • Form of self-punishment from guilt or shame
  • Sees it as a way to express emotions

Need Immediate Aid?

  • Call 911
  • Call 1-800-273-TALK (24-hour hotline)
  • Text the Crisis Line at 741741 (24-hour text line)
  • For therapy see information below

          If you or a loved one appears to be suffering from self-harm, 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/

 

Suicide: Fighting Suicidal Thoughts

By: Sally Santos

If you are someone who is suffering with suicidal thoughts, you should be aware that most people that have attempted to commit suicide but did not succeed feel relieved that they did not succeed in ending their life. When things get tough sometimes your mind starts racing and you feel overwhelmed with emotions. Suicide doesn’t just happen on its own, it is led by many social risk factors some of them being:

  • Gender
  • Age
  • Marital status
  • Employment status
  • Lack of social support

Many people who have attempted to commit suicide will say that they were experiencing very intense feelings of hopelessness. They felt like they had lost control of their lives and that nothing is going to get better. But that is not true. In that moment it may feel hopeless but there are ways to help you feel better. You do not have to feel like you have to fight your battles alone. In order to steer away from those thoughts it is important to keep in mind a plan just in case your thoughts become too overwhelming. It is recommended to make a list of all the positive things that you have in your life such as:

  • Read a favorite book or listen to your favorite music
  • Write down positive things about yourself or the favorite aspects of your life
  • Try to get a goodnights sleep
  • Have a list of people you trust to call in case you want to talk

Always note that you can discuss how you have been feeling with a healthcare provider. They can provide you with the advice and help that you need in order to achieve a faster and healthy recovery. Lastly, as mentioned in an article in Psychology Today it’s important to “remember that you have not always felt this way and that you will not always feel this way”. The emotions and thoughts that you have now are temporary not permanent.

Article: https://www.psychologytoday.com/us/blog/hide-and-seek/201204/fighting-suicidal-thoughts

Image: https://www.teepublic.com/sticker/1813639-suicide-prevention-awareness-butterfly-ribbon

If you or someone you know is thinking about suicide, contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, and 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, visit http://www.counselingpsychotherapynjny.com/.

 

Self-Harm

By Samantha Glosser

Self-harm, also known as self-injury, is becoming far more common than it used to be. Studies have shown that around two to three million Americans engage in self-harm every year. However, despite the growing number of people who inflict harm on themselves, self-harm is still a topic that many people do not want to talk about. It can be a scary and uncomfortable topic to discuss, but avoiding conversations about this topic creates a cycle of stereotypes and misinformation that will make people who harm themselves feel alone and that they cannot ask for help. In opening up the discussion about self-harm, there are a few important things to note.

What is self-harm? Self-harm can be defined as the act of inflicting deliberate injury onto oneself. This includes, but is not limited to, the following: cutting, burning, bruising, pulling hair, and breaking bones. Self-harm is not a sign of suicidality, it is a coping mechanism individuals have adapted to deal with various types of deep emotional distress.

Why do people self-harm? Like most mental health issues, the cause of self-harm cannot be attributed to one factor. There are numerous different reasons that someone might turn to self-harm as a coping mechanism. These reasons include, but are not limited to, the following: loss of control over emotions, feeling numb or empty, confusion about sexual or gender identity, bullying, and physical, emotional, or sexual abuse. Self-harm allows sufferers to turn emotional pain into physical pain, or it allows them to feel something when they are numb and empty.

Who engages in self-harm? Self-harm does not discriminate. It can affect you no matter your age, race, or gender. However, there are a few groups who are at a higher risk for self-harm according to recent research. These groups include the following: LGBTQ+ individuals, people aged 12-25, individuals battling addiction, and individuals diagnosed with borderline personality disorder and eating disorders. Often times you will not even know that someone is struggling with self-harm, because those who harm themselves commonly go to great lengths to keep their behavior a secret.

Can self-harm be treated? Although self-harm is not considered a mental disorder, there are still treatment options available. Treatment consists of psychotherapy which helps the individual to identify what causes them to self-harm and teaches them coping mechanisms that do not rely on bodily harm.

If you or someone you know appears to be suffering from self-harm, 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/


Sources: Grohol, J. M. (n.d.). Cutting and Self-Injury [Web log post]. Retrieved from https://psychcentral.com/blog/cutting-and-self-injury/

Lyons, N. (n.d.). Self-Harm: The Myths & the Facts [Web log post]. Retrieved from https://blogs.psychcentral.com/embracing-balance/2015/07/self-harm-the-myths-the-facts

What is Self Injury (SI)? (2016, July 17). Retrieved from https://psychcentral.com/lib/what-is-self-injury-si/

Self-Esteem and Shaming Parents

By Stephanie Osuba

We have all felt, in one way or another, like we weren’t good enough or even felt embarrassed after making a mistake at work. This is healthy in that we are expressing sadness or just reflecting on a situation that could have been handled differently, but we move on and eventually feel valued and confident again. However, for some, that feeling of shame and guilt never goes away. Some believe they are inherently flawed, worthless, and inferior to everyone else. These negative emotions and lack of self-esteem are largely rooted in repeated childhood and adolescence trauma that is often left unprocessed. Internalization of this emotional abuse leads to a conditioning of sort, usually by the primary caregiver, that the negative emotions constantly felt reflect who one is as a person. This person comes to genuinely believe that he or she is a bad person, unlovable, never good enough, and deserves to be treated with disrespect.

The constant shame is also accompanied by a constant feeling of guilt. Everything is his or her fault, regardless of the context. There is a sense of unjust responsibility for other people’s emotions and the outcome of all situations. Its no wonder why low self-esteem can manifest itself in anxiety, self-harm or poor self-care, or on the other extreme, narcissism and antisocial tendencies. Here are some behaviors that can be a manifestation of low self-esteem:

  • Lack of healthy self-love: poor self-care, self-harm, lack of empathy, and inadequate social skills
  • Emptiness: loneliness, lack of motivation, and finding distractions from emotions
  • Perfectionism: this is often a behavior that manifests as adults because of the unrealistic standards these children were held to by their parents and were punished for not meeting
  • Narcissism: grandiose fantasies of who they want others to perceive them to be; even if they do succeed however, this protective personality doesn’t numb the negative emotions they truly feel.
  • Unhealthy relationships: people with low self-esteem are incapable of building and maintaining a relationship with others, largely because they don’t know what a healthy relationship looks like. Both parties are usually extremely dependent.
  • Susceptibility to manipulation: the constant self-doubt, shame and guilt make it too easy to bend a person with low self-esteem to an experienced manipulator’s will.

Source: Cikanavicius, D. (2018, September 03). A Brief Guide to Unprocessed Childhood Toxic Shame. Retrieved from https://blogs.psychcentral.com/psychology-self/2018/09/childhood-toxic-shame/ 

If you or someone you know is struggling with self-esteem, 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/

Suicide and Mental Health Issues in College Students

By Samantha Glosser

Many students expect their college years to be the best years of their lives. They will achieve great academic successes, make life-long friends, go to the best parties, and enjoy living away from their parents. This idea is emphasized all around us in movies, TV shows, and social media posts. However, this is a glorified image of college that may not be the case for all students. In fact, according to a recent study by the American College Health Association, about 1 in every 11 college students have attempted suicide; 1 in 5 students has considered suicide and 1 in 5 students engage in self-harm.

How could these statistics be true when students are told that they are living in the best years of their lives? As it turns out, the college years are filled with numerous different stressors. These stressors include academic and career difficulties, intimate relationships, finances, personal and family health problems, issues with personal appearance, and death of family members and friends, just to name a few. 3 out of every 4 college students have experienced at least one of these stressors within the last year. These stressors are highly associated with mental health diagnoses, self-harm, and suicidality. The societal pressure that college should be the best years of your life can also be contributing to these statistics. If a student feels alone or thinks that no one else is experiencing similar feelings, it can push them closer towards self-harm and suicide.

If you or someone you know appears to be at immediate risk of suicide, please call the National Suicide Prevention Hotline at 1-800-273-8255. If you are not at immediate risk, but appear to be suffering from suicidal thoughts or other mental health issues, 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/

Source: https://psychcentral.com/news/2018/09/11/survey-1-in-5-college-students-stressed-considers-suicide/138516.html

Self-Harm

Self-harm is a way of expressing feelings that can’t be put into words by deliberately harming the surface of your own body, such as cutting or burning yourself. It’s the release of pain and tension one feels inside. It’s a distraction from overwhelming feelings and emotions, from no emotion at all, and can be used as a way to punish oneself.  It’s a way to feel control.

Dear readers that self-injure,             
            Maybe you feel ashamed, maybe you think no one would understand, maybe you think you won’t be left alone again, and quite honestly you might be scared of hearing that you’re crazy. But hiding who you are and what you feel is a heavy burden. We have all been there in one way or another. Truthfully, the secrecy and guilt of self-harm affects your relationships with your friends and family members and the way you feel about yourself. It can make you feel even more lonely, worthless, and trapped. But you are not crazy, and you are definitely not alone.

Why You Should Stop:

  • The relief is short lived.
  • Keeping the secret is a lonely and a difficult journey.
  • You can hurt yourself badly, on purpose or not, and misjudge the damage you’ll do.
  • Those who care for you, even those who are unaware of the situation, would be broken to know it.

How to Rid Yourself of the Mechanism:

  • Communicate with somebody you can confide in. A friend, a family member, a teacher, etc.
  • Give yourself time to heal.
  • Seek out professional help and begin to both work with and understand your emotions.
  • Sprint, draw, paint, sing, scream, run, cry, and do whatever you can to make your impulse go away in that moment.

How to Help Someone that Does Self-harm:

  • Don’t judge.
  • Respect the person’s time needed to heal.
  • Offer support, even if you might not completely understand.
  • Help find therapy, and offer to help reach out to more adults and professionals.

By Isabelle Kreydin

 If you or someone you know is self-harming and needs help, 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.helpguide.org/articles/anxiety/cutting-and-self-harm.htm

Bipolar Disorder: Importance of Treatment

Bipolar-Disorder-treatment1By: Michelle J. Hong

Thousands of Americans today suffer from a mental illness known as bipolar disorder. This common disorder is commonly known to be a complex, difficult disease due to the manifestations of the ups of mania and lows of depression. The individual experiences unpredictable moods such as bursts of overconfidence, restlessness, suicidal thoughts, etc., through “manic” and “depressive” episodes that bleed over to various aspects of an individual’s life, such as the workplace, home, and social settings. Unfortunately, these two opposite states can present themselves simultaneously, which makes the disease that much more difficult to cope with emotionally, mentally, and physically. The onset of this disease is usually during adolescence and early adulthood, but it can happen at any age. The causes of bipolar disorder could be due to chemical changes in your brain, family history, or it could be unclear. This disease also does not discriminate; it can affect people across all ages, genders, and races.

Bipolar disorder is a serious, long-term illness, and treatment and therapy are vital to self-improvement and management of the illness. Although bipolar disorder cannot be prevented, it can be managed through two types of treatments: medicine and talk therapy. There are prescribed medicine known as mood-stabilizers that can work to control an individual’s moods and “stabilize” states. Talk therapy involves talking to a psychologist, social worker, or mental health counselor in order to learn how the disease influences an individual’s character, emotions, and actions. There are devastating consequences if this mental illness goes untreated; a majority of untreated individuals are in constant states of struggle and are easily susceptible to depression, which can lead individuals to self-harm or attempt suicide. If left untreated, individuals can become psychotic which is characterized by hallucinations and delusions. The instability of the mind will increase because this disease is not fleeting; it lasts a lifetime.

If you or a loved one live in Manhattan or Bergen County New Jersey and might be suffering from bipolar disorder or depression, the psychiatrists, psychologists, psychiatric nurse practitioners or psychotherapists at Arista Counseling can assist you. Contact our Bergen County, NJ or Manhattan offices of psychologists, psychiatrists, and psychotherapists at (201) 368-3700 or (212) 722-1920 to set up an appointment. Visit http://www.acenterfortherapy.com for more information

Sources: http://www.suicide.org/bipolar-disorder-and-suicide.html