therapist bergen county nj

COVID-19: Teens in a Stressful Time

GalleryJudy Gurfein Leave a comment

    COVID-19: Teens in a Stressful Time

    By: Alexa Greenbaum 

    The COVID-19 crisis, social distancing, and government-mandated lockdowns have taken a toll on teenagers. For teenagers and young adults, friends are hugely important, and separation from their peers can be very challenging as bonding with peers is one of the essential developmental tasks of adolescents. During this time, parents need to understand and acknowledge their frustrations over being cut off from seeing friends. To help teens during this difficult time, adults should listen to what they’re feeling, validate those feelings, and then be direct about how you can work together to make this situation bearable. 

    For most teens, it can be painful to lose experiences such as sports seasons, proms, plays, and graduations. Parents can help their teen children by loosening rules to help compensate for the socializing time lost with the school closing. For example, parents can allow their children to spend more time on social media, have more downtime, and allow teens to socially distance with their friends.

    Teenagers can also benefit from getting adequate sleep, keeping a consistent sleep schedule, eating healthy meals, and exercising regularly. Healthy habits can increase and maintain positive moods. Healthy habits also help teens who are struggling with mental illnesses such as anxiety and depression and improve their ability to fulfill academic expectations. 

    Parents who give teens room to share their feelings, listen to them without judgment, reassure them that everything will work out, and help them look forward to future plans and goals are other ways to support teens.  Parents should also watch for signs if their teenage child is struggling and may need additional support.

    If you or someone you know is struggling during COVID-19 or another crisis, 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://childmind.org/article/supporting-teenagers-and-young-adults-during-the-coronavirus

    https://childmind.org/article/supporting-teenagers-and-young-adults-during-the-coronavirus-crisis/

    https://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/Teens-and-COVID-19.aspx

    Image Source: 

    https://www.health.harvard.edu/blog/keeping-teens-home-and-away-from-friends-during-covid-19

    https://www.health.harvard.edu/blog/keeping-teens-home-and-away-from-friends-during-covid-19-2020041419533

    Healthy Relationships: What does a healthy relationship look like

    GalleryJudy Gurfein Leave a comment

      Healthy Relationships: What does a healthy relationship look like

      By: Alexa Greenbaum 

      As humans, we seek genuine relationships in which both parties are satisfied and attain benefits from being a part of the relationship. Every relationship is unique, and people come together for many different reasons, but the key elements to a healthy relationship remain. Healthy relationships bring out the best in you and make you feel good about yourself. However, a healthy relationship does not mean that it is perfect, no one is healthy 100% of the time. 

      Healthy relationships manifest themselves as healthy communication and proceed at a comfortable pace that feels enjoyable to each person. There is a common goal for where both parties want the relationship to go. Trust is also a component of a healthy relationship. Trust can help you feel secure and give you the confidence that your partner would not do anything to hurt or ruin the relationship. When there is honesty, it can allow yourself to be truthful and candid without fearing how the other person will respond. Independence from a significant other can strengthen a relationship because it can give you the space to be yourself outside of the relationship. No one person can meet all your needs. Maintaining outside interests and relationships can sustain your own identity as well as stimulate and enrich your romantic relationship. Mutual respect is also critical. When there is respect, you value each other’s beliefs and opinions and love one another for who you are as a person.  

      Overall, a healthy relationship does not only require trust, honesty, and independence, healthy relationships also require reciprocation and care. A good relationship is where both parties do things for each other and care about the relationship by voluntarily investing time and energy into the relationship. This means that there is equality within the relationship. The relationship feels balanced so that everyone puts the same effort into the success of the relationship. Equity allows both parties to maintain a meaningful emotional connection. Doing things for each other should be done out of kindness. Kindness means that you are caring and empathetic to one another. Kindness also means that you provide comfort and support, kindness makes each other feel loved and emotionally fulfilled. 

      In times of conflict, taking responsibility and owning your actions and words, avoiding placing blame, and admitting when you make a mistake is critical in healthy relationships. Conflict can be healthy if handled correctly and respectfully. If conflicts are handled appropriately, it should not make couples fear disagreement. Healthy conflict is when parties within a relationship openly and respectfully discuss issues but confronting disagreement non-judgmentally. Lastly, a healthy relationship is fun. Fun in a healthy relationship means that you enjoy spending time together that you bring out the best in each other.

      If you or someone you know is struggling in their relationship or another crisis, 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

      10 Signs of a Healthy Relationship

      https://www.helpguide.org/articles/relationships-communication/relationship-help

      Tips for Building a Healthy Relationship

      Image Source

      https://www.betterhelp.com/advice/relations/counseling-for-couples-as-part-of-a-healthy-relationship/

      Race and Mental Health Treatment

      GalleryJudy Gurfein Leave a comment

        Race and Mental Health Treatment
        By: Isabelle Siegel

        Research demonstrates that individuals from racial and ethnic minorities are significantly less likely to receive treatment for mental health issues than White individuals. In 2015, nearly half (48%) of White individuals with mental illnesses received professional help while significantly smaller percentages of minority individuals—31% of Black individuals, 31% of Hispanic individuals, and 22% of Asian individuals—with mental illnesses received professional help. This begs the question: Why are people from racial and ethnic minority backgrounds less likely to receive mental health treatment?

        Financial Barriers. A report conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA) reveals that the primary reason that people from racial and ethnic minority backgrounds are less likely to receive mental health treatment is due to the cost of services and/or lack of insurance coverage. People from racial and ethnic minority backgrounds are disproportionately likely to experience poverty and, as a result, to have difficulty accessing healthcare services.

        Stigma. Research suggests that mental illness stigma is more acute among certain racial and ethnic groups. For example, studies suggest that feelings of stigma are greater among Asian and Hispanic individuals as compared to among White individuals. This, in turn, renders Asian and Hispanic individuals less likely to seek out mental health treatment when in need.

        Lack of Culturally Competent Therapists. The majority of therapists are White and may not directly understand the experiences of people from racial and ethnic minority backgrounds. Becoming a culturally competent therapist requires education and effort that unfortunately does not always take place. In fact, 56% of mental healthcare providers report having no formal cultural competency training.

        Language Barriers. Many therapists speak only English, which poses yet another barrier for racial and ethnic minority individuals who wish to seek mental health treatment. As a result, it can be difficult for non-English speaking individuals to receive proper mental healthcare.

        It is imperative that we work to increase the accessibility to mental health treatment for all individuals. Regardless of race and/or ethnic background, socioeconomic status, and other demographic factors, all individuals have the potential to benefit from therapy and other forms of treatment.

        If you or a loved one needs support, 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:
        Mental Health Facts for Diverse Populations – American …www.psychiatry.org › Mental-Health-Disparities › Ment…
        https://www.nimh.nih.gov/news/science-news/2015/a-new-look-at-racial-ethnic-differences-in-mental-health-service-use-among-adults.shtml
        https://socialwork.simmons.edu/racial-disparities-in-mental-health-treatment/

        https://www.kff.org/other/state-indicator/poverty-rate-by-raceethnicity/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D
        https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568160/
        Image Source: Mental Health Facts for Diverse Populations – American …www.psychiatry.org › Mental-Health-Disparities › Ment…

        Perfectionism: Obsessive-Compulsive Personality Disorder (OCPD)

        GalleryJudy Gurfein 2 Comments

          Perfectionism: Obsessive-Compulsive Personality Disorder (OCPD)
          By: Isabelle Siegel

          Oftentimes when people say “I’m so OCD,” what they really mean is “I’m a perfectionist.” Perfectionism is a trait characterized by a rigid need to be perfect: that is, without flaws. Although perfectionism is often thought of as being a positive trait, it can be maladaptive in many ways. Perfectionists tend to have unrealistically high standards, to take longer to complete tasks, to struggle with collaboration, and to place immense pressure on themselves. When perfectionism is extreme, it may meet criteria for Obsessive-Compulsive Personality Disorder (OCPD).

          OCPD, not to be confused with OCD, is a personality disorder characterized by a pattern of inflexibility and a fixation with perfection. This fixation can interfere with one’s ability to complete tasks, one’s interpersonal relationships, and other aspects of one’s life. People with OCPD attempt to control life using details, rules, lists, order, organization, and/or schedules. According to the Diagnostic and Statistical Manual of Mental Disorders, OCPD is diagnosed when an individual demonstrates:

          • a fixation with details, rules, lists, order, organization, or schedules
          • perfectionism that interferes with task completion
          • overemphasis on work and productivity, leaving no time for leisure or relaxation
          • a fixation with morality and ethical responsibility
          • hoarding of objects and/or money
          • an inability to delegate tasks to others
          • an overall rigidity and/or stubbornness

          Like other psychological disorders, OCPD can be treated with therapy and medication. Therapies for OCPD emphasize identifying and modifying maladaptive behavioral patterns, as well as targeting triggers (such as stress) for overly perfectionistic behavior.

          If you or a loved one demonstrates symptoms of OCPD, 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:
          https://www.goodtherapy.org/learn-about-therapy/issues/perfectionism
          https://www.ocduk.org/related-disorders/obsessive-compulsive-personality-disorder/clinical-classification-of-obsessive-compulsive-personality-disorder/

          Image Source: https://commons.wikimedia.org/wiki/File:Signs_of_OCPD_1.png

          ADHD: Treatment

          GalleryJudy Gurfein Leave a comment

            By: Elyse Ganss

            Attention-deficit hyperactivity disorder, also known as ADHD, is characterized by a pattern of inattention, impulsivity, and hyperactivity that impedes normal functioning and activity. For example, someone who has ADHD may be unable to focus on a task or will constantly move around and fidget.

            Diagnosis of ADHD can only be given by a licensed clinician like a psychologist or psychiatrist. Typically, ADHD will only be diagnosed if there is a repeated pattern over a period time of inattention and hyperactivity. In children, a diagnosis requires a child falling behind in development. Adults who suffer from ADHD may have poor academic performance in school or issues at work as a result of inattention.

            Risk factors for ADHD include genetics, exposure to environmental toxins during pregnancy, behavioral toxins, and low birth weight. Treatment for ADHD may include therapy or medication to reduce symptoms and improve functioning. When medication is needed, doctors typically prescribe a stimulant that increases dopamine and norepinephrine levels in the brain. This improves thinking and attention.

            Therapy can help a person suffering from ADHD develop coping mechanisms like mindfulness or possibly meditation. Simple strategies like making lists, keeping a stable routine, utilizing a calendar, and creating reminder notes may help a person with ADHD improve functioning.

            If you or someone you know needs support for ADHD, 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/topics/attention-deficit-hyperactivity-disorder-adhd/index.shtml

            Image Source:

            https://img.buzzfeed.com/buzzfeed-static/static/2017-01/10/18/campaign_images/

            Insomnia: What factors cause it?

            GalleryJudy Gurfein Leave a comment

              By: Elyse Ganss

              Insomnia is a sleep disorder that causes an inability to sleep in regular increments. Insomnia can be caused by many issues including medical conditions, biological factors, and psychiatric conditions. Medical causes of insomnia include nasal/allergies, endocrine problems, asthma, neurological conditions, chronic pain, or gastrointestinal problems.

              Insomnia can frequently co-occur with mental health disorders. Some psychiatric problems that may impact sleep include depression and anxiety. Depression includes symptoms of hopelessness, sadness, and a lack of energy. Severe depression is correlated with a higher risk for insomnia. Anxiety symptoms include stressful thoughts, general anxiousness, panic, or dread. Anxiety can make it so falling asleep feels impossible as you are consumed by thoughts/fears.

              Lifestyle choices like naps, irregular sleeping patterns, and working on a laptop or phone close to when you are going to sleep can cause insomnia as well. Even certain foods and drinks can have a negative impact on your sleep. For example, drinks that have caffeine and are consumed up to 8 hours before going to sleep may cause insomnia.

              Seeking therapy for insomnia may be helpful in decreasing symptoms. Typically, therapy will teach the patient how to replace negative thoughts as well as problem solving techniques in order to alleviate sleeping issues. Similarly, certain medications can be prescribed to help restore regular sleeping patterns if the insomnia is severe and has a long-term pattern.

              If you or someone you know needs support for insomnia, 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:

              What Causes Insomnia?

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

              Image Source:

              https://news.uthscsa.edu/wp-content/uploads

              Parental Alienation Syndrome

              GalleryJudy Gurfein Leave a comment

                By: Elyse Ganss

                Parental alienation syndrome occurs when a child’s parent unconsciously works to turn the child against the other parent. This commonly occurs during divorce or custody battles. When saying negative things about the other parent, like blaming the other parent for their breakup, alienation turns the child against the other parent. Strategies can include brainwashing, alienating, and programming to cause distance between a child and parent. This behavior has negative effects for the relationship of the child and the other parent and can cause permanent damage.

                The parent who unconsciously tries to turn the child against the other parent often exhibits narcissistic characteristics or tendencies in line with borderline personality disorder and are more concerned with their own feelings rather than the child’s well-being. Feelings that may be driving the parent’s behavior are anger and jealousy. Children benefit from the presence of both parents, unless a parent is abusive, and through parental alienation syndrome, children may become estranged from a parent.

                If you have been experiencing anger about your co-parenting relationship and have been consciously or unconsciously taking it out on your child, you may be causing parental alienation syndrome. Children being alienated may experience anger, feelings of neglect, exhibit destructive behavior, and lack empathy. It is important to remember that no matter what you are feeling toward your former spouse, your child should not be brought into your separation, divorce, or custody battle. Supporting a child is the most important thing to do during a breakup and it may be helpful to bring the child to therapy to work through their emotions to prevent psychological damage.

                If you or someone you know needs support, 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.psychologytoday.com/us/blog/resolution-not-conflict/201802/parental-alienation-syndrome-what-is-it-and-who-does-it

                https://www.healthline.com/health/childrens-health/parental-alienation-syndrome#effects-on-child

                Image Source:

                https://www.healthline.com/health/childrens-health/parental-alienation-syndrome

                OCD: Perinatal/Maternal Obsessive Compulsive Disorder

                GalleryJudy Gurfein 1 Comment

                  Perinatal/Maternal Obsessive Compulsive Disorder (OCD)

                  By: Isabelle Siegel

                  Conversations about postpartum depression have recently become commonplace, leading many people to become familiar with the signs and symptoms of this condition. As a result, new mothers are much quicker to recognize and label their struggles and to seek help. However, the same attention has not been paid to a similar condition: Perinatal or Maternal Obsessive Compulsive Disorder (OCD).

                  What is Perinatal/Maternal OCD?

                  Perinatal/Maternal OCD is essentially OCD with onset during pregnancy or shortly after giving birth. In general, OCD involves the presence of obsessions (“unwelcome thoughts, images, urges, worries or doubts that repeatedly appear in your mind”) and compulsions (repetitive behaviors or thought patterns performed to relieve anxiety caused by the obsessions).

                  Expecting and new mothers with Perinatal/Maternal OCD commonly experience obsessive thoughts about their infant’s safety, including intrusive thoughts about:

                  • Unintentionally harming the infant
                  • Sexually abusing the infant
                  • Contaminating the infant
                  • Making wrong or harmful parenting decisions

                  They may then engage in compulsive behaviors or thought patterns in order to relieve the resulting anxiety, including:

                  • Repetitively calling the doctor or other health professionals
                  • Repetitively checking on the infant
                  • Total avoidance of the infant
                  • Excessive washing of anything with which the infant might come in contact

                  Treatments for Perinatal OCD

                  Mothers experiencing Perinatal/Maternal OCD are not hopeless. As with other forms of OCD, Perinatal/Maternal OCD can be addressed with therapy and/or medication. Cognitive Behavioral Therapy (CBT) and, more specifically, Exposure and Response Prevention (ERP) can be used to target obsessive thoughts and compulsive behaviors.

                  If you or a loved one is experiencing symptoms of Perinatal or Maternal OCD, 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:

                  https://www.mind.org.uk/information-support/types-of-mental-health-problems/postnatal-depression-and-perinatal-mental-health/perinatal-ocd/

                  https://iocdf.org/expert-opinions/perinatal-ocd-what-research-says-about-diagnosis-and-treatment/

                  About Perinatal OCD

                  Image Source: https://www.mothersclub.sg/mum-confessions-1/

                  Personality Disorders: What are they?

                  GalleryJudy Gurfein Leave a comment

                    By: Elyse Ganss

                    According to the Mayo Clinic, “a personality disorder is a type of mental disorder in which you have a rigid and unhealthy pattern of thinking, functioning and behaving.” Those who have personality disorders struggle when interacting and trying to get along with others and tend to think their erratic thoughts are normal. Personality disorders can be grouped into three different clusters.

                    Cluster A is characterized by odd/suspicious thinking or behavior. Examples of cluster A personality disorders are paranoid personality disorder, schizoid personality disorder, and schizotypal personality disorder. Cluster B includes emotional/impulsive behavior, dramatic tendencies, and unpredictable thinking. Examples include antisocial personality disorder, borderline personality disorder and narcissistic personality disorder. Finally, cluster C is characterized by anxious thinking and behavior. Avoidant personality disorder, dependent personality disorder, and obsessive-compulsive personality disorder are examples of cluster C personality disorders.

                    Personality disorders occur through an interaction of genetic and environmental influences. Risk factors for personality disorders include a family history of mental illness, an unstable or abusive childhood, and variations in brain chemistry. Typically, personality disorders emerge in teenage or emerging adulthood years. Through the combination of therapy and medication, personality disorders can be managed.

                    If you or someone you know needs support for a personality 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.mayoclinic.org/diseases-conditions/personality-disorders/symptoms-causes/syc-20354463#:~:text=Overview,relating%20to%20situations%20and%20people.

                    https://www.healthline.com/health/personality-disorders#outlook

                    Image Source: https://psychcentral.com/news/u/2019/05/therapy-teenage-girl-psychologist-large-bigstock-1024×76

                    Bipolar Disorder: How to Support a Spouse with Bipolar Disorder

                    GalleryJudy Gurfein 2 Comments

                      Bipolar Disorder: How to Support a Spouse with Bipolar Disorder

                      By: Isabelle Siegel

                      Bipolar Disorder is characterized by alternating manic (“elevated, expansive, or irritable mood”) and depressive (“depressed mood or loss of interest or pleasure in life”) episodes. The disorder causes significant suffering for the individual diagnosed, as well as his/her loved ones. It can be extremely difficult to support a partner or spouse with Bipolar Disorder, but it is possible with the right mindset and preemptive actions.

                      Develop an understanding of Bipolar Disorder and how it manifests in your partner/spouse. Psych Central suggests creating a list of warning signs that your partner/spouse starts to exhibit before or while entering a manic or depressive episode. This will help you to better understand your partner/spouse, as well as enable you to interpret his/her behaviors in the context of the disorder.

                      Learn what helps (and what does not help) when your partner/spouse is in a manic or depressive episode. When your partner/spouse is stable, work together to create a list of actions you can take to alleviate symptoms when he/she is in a manic or depressive episode.

                      Communicate. As cliche as it sounds, open communication is integral to maintaining a relationship with someone who has Bipolar Disorder. It is important that each partner/spouse feels heard and validated at all times.

                      During manic or depressive episodes, understand your partner’s/spouse’s behavior in the context of the disorder. During episodes, it is important to view your partner’s/spouse’s actions and words as symptoms of a disorder rather than as reflective of his/her true feelings. If your partner/spouse says something hurtful, for example, try to understand the role that the disorder is playing in causing this behavior.

                      Allow yourself to feel frustration, upset, or any other emotion. Understand that Bipolar Disorder is an illness and that it is normal for difficult or conflicting emotions to arise. Do not feel guilty for feeling frustrated, upset, angry, resentful, or even for wanting to leave your partner/spouse at times. All of these feelings are normal.

                      Most importantly, take care of yourself and seek therapy. Understand that your partner/spouse is not the only one who needs support and never feel guilty for prioritizing your own needs. It can be beneficial to seek therapy or other support in order to take care of your own mental health and to work through difficult emotions.

                      If you or a loved one needs support and help understanding yourself and/or a family member, 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:
                      https://psychcentral.com/blog/helping-your-partner-manage-bipolar-disorder/
                      https://www.nami.org/personal-stories/living-with-someone-with-bipolar-disorder
                      https://www.healthline.com/health/bipolar-disorder/relationship-guide
                      https://www.psycom.net/bipolar-definition-dsm-5/

                      Image Source:
                      https://medium.com/@christinacare/a-guide-to-supporting-a-partner-in-therapy-f0d64575558