Bulimia Nervosa-Learning About Eating Disorders

By: Erika Dino

Bulimia Nervosa

Bulimia Nervosa is an eating disorder that leads you to eating an unusual large amount of food in a repetitive matter. After you do this, there is a behavior done such as vomiting or fasting due to the fact that eating large amounts of food makes you purge secretly. Purging also involves taking laxatives or excessive exercising. Individuals who have Bulimia Nervosa want to lose weight, or are often feeling fear towards gaining weight. They aren’t happy with their weight, because they have feelings of shame. They binge eat, and then purge, usually a few times a week.

Usually this is coexisting with another psychological illness. Examples of this can be anxiety or depression. Bulimia can be caused by stress, dieting, or mixed emotions that can make you feel uncomfortable. Traumatic life events and genetics can also have a part in bulimia nervosa.

Symptoms:

▪Dehydration

▪Laxative abuse causing irritation

▪Inflamed throat

▪ Dental problems

Treatment

▪Psychotherapy

▪Prescribed Medication

▪Cognitive Behavioral Therapy

We can help. We can make the difference. You are a strong individual and there is no reason to doubt it. We will work together, and we will get the best results.

https://www.psychologytoday.com/us/basics/bulimia-nervosa

Eating Disorders- National Institute of Mental Health

Image: https://comps.canstockphoto.com/bullimia-nervosa-drawing_csp11371809.jpg

If you or someone you know appears to be suffering from Bulimia 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/.

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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/.

 

Addiction

By: Dianna Gomez

It is more often than not assumed that a person addicted to a substance, whether it be drugs or alcohol, is someone with shallow morals, little motivation, and that if he or she really wanted to, they could simply stop using at any moment. These assumptions show how extremely misunderstood addiction is by our general public, as well as how infrequently this topic is discussed among us. Addiction is a chronic disease that affects a person’s brain chemistry, thoughts, and behaviors. An individual can initially fall into addiction through voluntarily substance use or through necessary use of prescription medication prescribed by a doctor (ex: pain medication for after a surgery). When addiction first begins, the substance affects the reward circuits in the brain which causes feelings of complete euphoria. If a person continues to use the substance, the brain adjusts itself and develops a “tolerance” for it, which causes the individual to not feel the effects of the drug as intensely as they did the first time the drug was taken. This requires the person to have to use a larger quantity of the substance in order to reach the same level of “high” they did before. There are many different ways an individual can naturally be more vulnerable to addiction throughout their lifetime. Two of these main ways include biology and environment.

Biology: the genetics a person is born with can affect up to 50% of their risk for becoming addicted to a substance. This includes factors such as gender, ethnicity, and an individual’s family mental health history.

Environment: the conditions in which an individual is brought up in such as their economic status, family/friends, and quality of life in general also plays a huge role in their vulnerability for addiction. Peer pressure, lack of parental guidance, traumatic experiences with abuse (physical, emotional, sexual) are a few examples of common environmental influences.

If either you or anybody you know suffers from substance abuse or addiction, 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/.

 

Low Self Esteem: 7 Steps to Start Loving Yourself

By: Sanjita Ekhelikar

Self-esteem describes the way that we evaluate and judge ourselves. It is assessed on a continuum from high to low, with unfortunately many people who fall under the category of having low self-esteem. People who feel this way about themselves do not see themselves and their views as valuable, compare themselves to others, feel worthless, and lack self-confidence.

If you or anyone you know struggles with low self-esteem, you know how difficult it can be to bear the feelings that come with it. It can be draining, can impair overall functioning, can influence social interactions, and can cause one to be withdrawn from society. Although it is not easy to cope with low self-esteem, it can be improved through steps towards accepting and loving oneself. The capacity for change comes from within yourself!

Here are 7 Steps to Begin Loving Yourself and Boost your Self-Esteem:

1. Practice saying things you like about yourself in the mirror every morning when you wake up. Start your day taking the time to compliment yourself. This will begin to come naturally the more you do it.

2. Write out a list of your accomplishments. Accomplishments as big as landing the job you wanted or as small as getting the laundry done count. The more you applaud yourself, the more you will be able to boost your confidence.

3. Forgive yourself for your mistakes and failures. It is easy to hold onto failures and consider yourself to be a failure. Learn to accept and forgive mistakes, recognizing that everyone in the world makes them.

4. Stop comparing. Remind yourself that you are different from the people around you, and that you are not them. The more you try to compare yourself with others, the more you lose sight of who you are.

5. Spend time with the people you love. It is easy to isolate when you are not feeling your best, but surrounding yourself with the family and friends who you feel closest to can boost your happiness and make you feel good about yourself, especially seeing how happy they are to be with you.

6. But also, spend time alone. Take yourself out somewhere nice, go on a long drive alone, or even travel by yourself. Giving yourself “me-time” is important in developing a better relationship with yourself.

7. Remind yourself that no on is perfect. It is easy for us to feel bad about ourselves when we think we need to be this “perfect” person. Remember, perfect does not exist, so you should just try to be you instead.

If you or someone you know is suffering from low self-esteem, 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/.

Alcoholism: A Life Altering Disorder

By: Charleene Polanco

According to Mayo Clinic, alcoholism, also known as alcohol use disorder, is defined as an alcohol use pattern that involves the inability to control ones drinking. For many who are on track to become an alcoholic, it seems pretty easy to keep convincing themselves that they have the ability to quit whenever they want. However, when he or she realizes their alcohol tolerance has increased, and that he or she experiences withdrawal symptoms when not drinking, an alcohol use disorder has developed. The common symptoms of alcoholism include:

  • Uncontrolled alcohol consumption
  • Using alcohol in unsafe situations, such as driving
  • Failure to fulfill major school or work obligations because of repeated alcohol use
  • Craving/ urges to drink alcohol
  • Withdrawal symptoms like nausea, sweating, and shaking
  • Unsuccessful attempts to cut down on the amount of alcohol consumed

Alcoholism is an important issue, because it affects a huge number of the American population. As many as 18 million Americans suffer from alcoholism, and about 100,000 die as a result. Alcoholism is also associated with other social and domestic problems, like job absenteeism and spousal/child abuse. With such a significant portion of the U.S. population suffering from this terrible disorder, and its effects on the individual and loved ones, it is imperative that a person seek help when afflicted with alcohol use disorder.

If you or someone you know is suffering from alcohol use 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:

Mayo Clinic. (2018, July 11). Alcohol use disorder. Retrieved October 9, 2018, from https://www.mayoclinic.org/diseases-conditions/alcohol-use-disorder/symptoms-causes/syc-20369243

WebMD. (2018). Understanding Alcohol Use Disorder — the Basics. Retrieved October 9, 2018, from https://www.webmd.com/mental-health/addiction/understanding-alcohol-abuse-basics#1

 

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 http://www.counselingpsychotherapynjny.com/

 

Source: Tartakovsky, M. (2016, July 17). Demystifying treatment for body dysmorphic disorder. Retrieved from https://psychcentral.com/lib/demystifying-treatment-for-body-dysmorphic-disorder/

Alcohol Use Disorder

By Samantha Glosser

Alcohol use disorder, more commonly known as alcoholism, is a pattern of alcohol use that results in impairment and distress in your daily life. Short term effects of alcohol use disorder include memory loss, hangovers, and blackouts. However, the long term effects are much more serious and include the following: stomach ailments, heart problems, brain damage, memory loss, liver cirrhosis, and cancer. Alcohol use disorder is also linked to increased chances of dying from automobile accidents, homicide and suicide, as well as increased rates of unemployment, domestic violence, and legal problems.

Cravings for alcohol, drinking in spite of it causing personal problems, an inability to stop drinking, and building up a tolerance to alcohol are common symptoms of alcohol use disorder. Alcohol use disorder can be diagnosed if two or more of the following are present in a twelve-month period (the severity of addiction is based on how many symptoms are present):

  • Drinking more or for a longer period than intended.
  • Feeling the need or trying to cut back on drinking.
  • Spending a lot of time drinking and recovering from the short-term effects of drinking.
  • Craving the use of alcohol.
  • Failing to perform responsibilities due to drinking.
  • Continuing to use alcohol even though it is creating relationship problems.
  • Ceasing participation in important activities to drink more.
  • Drinking before or during potentially dangerous activities (such as driving).
  • Continuing drinking despite its relation to physical and mental health conditions.
  • Developing a tolerance for alcohol.
  • Experiencing withdraw symptoms when reducing or stopping alcohol intake.

There are numerous treatment options available to individuals struggling with alcohol use disorder, such as detoxification, Alcoholics Anonymous (AA), inpatient/outpatient treatment programs, and medication. There are also different methods to recovery, such as abstinence (completely quitting) or just cutting down on alcohol intake. Finding the right treatment options depends on the individual, which is why it is recommended to seek guidance from a trained professional.

If you or someone you know appears to be suffering from alcohol use disorder, 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: Alcohol Use Disorder. (n.d.). Retrieved from https://www.psychologytoday.com/us/conditions/alcohol-use-disorder

Anxiety: Social Anxiety Disorder

By: Charleene Polanco

Social anxiety disorder is characterized by an intense fear of being rejected by people. Many people feel some level of anxiety when they are placed into unknown social situations. However, those suffering from social anxiety disorder may avoid socializing altogether, because they cannot handle being judged or seen in a negative way by others. A person with social anxiety disorder, can experience anxiety during many different situations like; going on a date, eating in front of people, making eye contact, public speaking, or going to parties. Some of the symptoms of social anxiety include:

  • Rapid heartbeat
  • Uneasy stomach/diarrhea
  • Muscle tension
  • Lightheadedness
  • Sweating

Social anxiety can cripple a person’s life, because normal everyday interactions are triggers of anxiety and discomfort. This is why many people who suffer from social anxiety disorder choose to isolate themselves from everyone. In order to reduce the fear of rejection, people with social anxiety disorder are encouraged to be exposed to social situations, not run away from them. Although being around others is what brings them distress, socializing is also what allows people with social anxiety to change the way they think about social engagements. Instead of having negative perceptions about the way people view them, the more they socialize and are accepted by others, the more socially anxious people see that those perceptions are not true.

If you or someone you know is suffering from 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:

Anxiety and Depression Association of America. (2018). Social Anxiety Disorder. Retrieved October 01, 2018, from https://adaa.org/understanding-anxiety/social-anxiety-disorder

Nordqvist, C. (2018, February 05). What’s to Know About Social Anxiety Disorder? Retrieved October 01, 2018, from https://www.medicalnewstoday.com/articles/176891.php

WebMD. (2018). What Is Social Anxiety Disorder? Retrieved October 01, 2018, from https://www.webmd.com/anxiety-panic/guide/mental-health-social-anxiety-disorder#1

 

Postpartum Depression

By Samantha Glosser

“I thought postpartum depression meant you were sobbing every single day and incapable of looking after a child. But there are different shades of it and depths of it, which is why I think it’s so important for women to talk about. It was a trying time. I felt like a failure.” -Gwyneth Paltrow

Postpartum depression can begin as early as a few weeks after giving birth, and it affects one in seven women. Symptoms of postpartum depression include the following: depressed mood or mood swings, excessive crying, difficulty bonding with the baby, withdrawal from loved ones, loss of appetite or an increased appetite, inability to sleep or sleeping too much, fatigue or loss of energy, anxiety, fear of not being a good mother, thoughts of harming yourself or your baby, and recurrent thoughts of death and suicide. These symptoms typically interfere with your life and your ability to raise and connect with your child. Although it is not certain what causes postpartum depression, it is most likely due to a combination of hormones and emotional processing deep in the brain.

As noted by Gwyneth Paltrow, an actress using her fame to shed light on the severity of this disorder, postpartum depression is not one size fits all; every woman experiences it differently and experiences symptoms at different severities. This is why it is important for women to be open and honest about their experiences with postpartum depression. Women often feel a lot of shame when they have postpartum depression, because they do not understand why they are feeling this way or what they are feeling. They feel like they are alone in these feelings. However, this is not the case. Other famous mothers such as Brooke Shields and Marie Osmond, like Paltrow, are using their platforms to share their struggles with postpartum depression and let women know that they are not alone and that they should not feel ashamed, which is opening up the doorway to treatment for all women. Postpartum depression can be effectively treated with psychotherapy, support groups, and psychiatric medication if needed. These treatments are the most efficient way for you to feel better and connect with your child.

If you or someone you know appears to be suffering from postpartum depression, 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: Layton, M. J. (2016, January 26). Task force urges doctors to screen new moms for depression. Retrieved from http://www.northjersey.com/story/news/2016/01/26/task-force-urges-doctors-to-screen-new-moms-for-depression/94422958/

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