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Bipolar Disorder

GalleryJudy Gurfein Leave a comment

Bipolar Disorder

By: Nicole Sanchez

Bipolar disorder is a serious mood disorder and mental health condition that causes unusual shifts in mood, energy levels, thinking and behavior. These shifts can last for hours, days, weeks or months and interfere with ability to carry out daily tasks. When one becomes depressed, they may go through feelings of sadness, hopelessness and or loss of interest in many activities. When one’s mood shifts to mania, one may feel euphoric, energized or irritable. These shifts in mood can impact a person’s sleep, activity or energy levels, behavior and their ability to think clearly. Each type of bipolar disorder includes periods between manic or depressive episodes when symptoms lessen, or people feel stable. The greatest difference between the types of disorder is how extreme the mood states are and their duration. Bipolar I Disorder includes having a history of at least one manic episode, but sometimes also having depressed or hypomanic episodes as well. Bipolar II Disorder includes mood states that vary from an even mood to high to low, although the highs are less extreme and are called hypomanic states.

Individuals with bipolar disorder can be treated with a combination of medication and therapy. Mood stabilizers, antipsychotics, and antidepressants can aid in managing mood swings and other symptoms. Some people may need to try different medications before determining which medication works best for them. Therapy aids individuals in accepting their disorder, being familiar with the warning signs of a manic or depressive episode, developing coping strategies, and sticking with a medication schedule. While people may sometimes experience some stability in their mood between episodes, a long-term, continuous treatment plan is suggested as it can reduce the severity and frequency of mood swings.

If you or someone you know is having mental health difficulties and/ or experiencing symptoms of Bipolar Disorder, please contact our psychotherapy offices in New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our offices at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

https://www.samhsa.gov/mental-health/bipolar

Social Anxiety: How Bullying Affects The Disorder

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Social Anxiety: How Bullying affects the disorder

By, Maro Mikhaeil

Do you find yourself seeking the approval of people yet being bullied in return?  Often, we feel the need to be liked by others and we find ourselves changing who we are. When you are continuously attempting to impress others by pretending to be someone you are not or hiding your genuine self, you are manifesting a fear of rejection. Unfortunately, others may be able to notice your fears and use them against you since you are trying too hard to “fit in”.

Emotional abuse is real, and it may be just as harmful as physical abuse. Emotional abuse creates distress in the individual’s emotional or psychological state. Kids can be harsh, and the Pew Research Center reports that at least 59% of kids in the United States have been bullied. Bullying can lead to low self-esteem and increased self-consciousness. This creates a negative feedback loop in which bullied people are more inclined to suffer from social anxiety, and vice versa. Bullying can potentially escalate into physical violence, resulting in pain on both fronts.

But what is Social Anxiety?

According to the DSM-IV, Social Anxiety is defined as feeling frightened or worried in social situations, which may lead to the desire to avoid social encounters altogether. Unfortunately, bullying does not help; instead, it can worsen symptoms as anxiety sets in, when anything one does is criticized and, as a result, is emotionally abused.

What can you do about it?

First and foremost, in dealing with the disorder, you must not feed the desire to avoid social interactions. The more we care about what others think, the more we lose ourselves and suppress our genuine identities. It is crucial to remember that bullying occurs more frequently than you think and if you allow it to disrupt your life, you are merely hurting yourself.

If you or someone you know is a victim of bullying and/or experiencing 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  (212) 722-1920 or (201) 368-3700 to set up an appointment. For more information, please visit https://www.counselingpsychotherapynjny.com

Sources:

https://www.verywellfamily.com/bullying-and-anxiety-connection-460631#:~:text=It%20is%20not%20surprising%20that,them%20over%20and%20over%20again.

 https://www.brosix.com/blog/cyberbullying-statistic/

Binge-Eating Disorder: The Link between Mental Health and Binge-Eating in College Students

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Binge-Eating Disorder: The Link between Mental Health and Binge-Eating in College Students

By, Maro Mikhaeil

Have you heard of the commonly used expression, the “Freshman 15”? This expression is used to describe how the first year of college can be very challenging as one is transitioning to a different stage of their life. It is so challenging that it could lead to an excessive amount of stress and anxiety leading to the need to compensate those feelings. Food can very well help compensate those feelings, but if it comes to a point where it becomes a habit, you’ve got problems. Overeating may start to occur and that’s where the “Freshman 15” expression comes in. “15” in the expression refers to the amount of weight gain as a result of the high stress and anxiety levels that comes with freshman year of college. Unfortunately this could cause long term problems associated with overeating such as Binge-Eating Disorder.

Binge-Eating Disorder is characterized as overeating frequently in a short amount of time. The binge-eater experiences trouble controlling their consumption. According to the DSM-IV, in order to be diagnosed with Binge-Eating Disorder, one must have three or more episodes of:

  • Excessively eating more consistently than normal
  • Overeating until feeling uncomfortably full
  •  Eating big portions of food without being hungry
  •  Having the preference of eating alone due to embarrassment
  •  Feeling guilty after indulging in food.

If you or someone you know is struggling with their mental health or 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 (212) 722-1920 or (201) 368-3700 to set up an appointment. For more information, please visit https://www.counselingpsychotherapynjny.com

Sources:

Diagnostic and Statistical Manual of Mental Disorders Fifth Edition by the American Psychiatric Association (DSM-IV)

OCD & Obsessions

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OCD & Obsessions by Nicole Sanchez

Obsessive compulsive disorder is comprised of a pattern of unwanted thoughts and or fears known as obsessions. These obsessions lead one to do repetitive behaviors, also called obsessions. These obsessions and compulsions interfere with much of one’s daily activities and can cause a lot of distress. Ultimately, one feels driven to carry out compulsive acts to reduce their stress. Examples of common content of obsessional thoughts include the fear of contamination, disturbing sexual thoughts or images, religious and blasphemous thoughts, or ritualized hand washing. Ordering things in a particular way, repeated cleaning of objects or repeatedly checking locks, appliances etc. Compulsions can even include the need to constantly seek approval or reassurance. Often there are peole with OCD that recognize or suspect their obsessional thoughts are not realistic though some may think they could be true.  Even if they are aware of their intrusive thoughts are not realistic, people struggling with OCS have difficulty disengaging from the obsessive thoughts or stopping the compulsive behaviors.

Cognitive behavioral therapy (CBT) is a type of psychotherapy that is effective for many of those that struggle with OCD. Exposure and response prevention (ERP) is a part of CBT therapy which involves exposing a person over time to the feared object or obsession, such as dirt. Then one learns ways not to do their compulsive rituals. ERP takes time and practice, but it has been proven to help those struggling with OCD improve their life quality once they learn to manage their symptoms. Patients with mild to moderate OCD symptoms are usually treated with either CBT or medication depending on their preference. It also depends on their cognitive abilities, level of insight and the presence or absence of associated psychiatric conditions, as well as treatment availability. Hypnosis has often also been used to successfully eliminate OCD symptoms. Hypnosis is a relatively short treatment of several sessions which helps the person rid themselves of harmful, repetitive behaviors.

If you or someone you know is having mental health difficulties and/ or experiencing symptoms of OCD, please contact our psychotherapy offices in New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our offices at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

https://www.mayoclinic.org/diseases-conditions/obsessive-compulsive-disorder/symptoms-causes/syc-20354432

https://www.psychiatry.org/patients-families/obsessive-compulsive-disorder/what-is-obsessive-compulsive-disorder

https://www.webmd.com/mental-health/obsessive-compulsive-disorder

Schizophrenia and Psychosis

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Schizophrenia and Psychosis   By: Nicole Sanchez

Schizophrenia is a severe mental disorder that impacts the way a person thinks, acts, expresses emotions, and perceives reality. Schizophrenia isn’t as common as other mental illnesses, however it can be the most chronic and disabling.Psychosis refers to symptoms categorized by a loss of touch with reality that comes from a disruption in the way one’s brain processes information. During a psychotic episode a person’s thoughts and perceptions are distorted, and may have difficulty differentiating what is real and what is not is not. Symptoms fall into three major categories which are positive, negative, and disorganized. Positive symptoms include hallucinations, such as hearing or seeing things that do not exist, paranoia and distorted perceptions, beliefs and behaviors. Negative symptoms include the loss or decrease in the ability to speak, express emotion or find pleasure. Disorganized symptoms include confused and disordered thinking and speech, difficulties with logical thinking and sometimes bizarre behavior or abnormal movements.

While there is no cure for schizophrenia, many patients do well on medication and these have minimal symptoms. There are numerous anti-psychotic medications that are effective in not only reducing the psychotic symptoms present in the acute phase of the illness, but also in helping limit the potential for future episodes. Psychological treatments such as cognitive behavioral therapy or supportive psychotherapy may aid in the reduction of symptoms and help enhance overall functioning by reducing stress, or improving social skills.

If you or someone you know is having mental health difficulties and/ or experiencing symptoms of schizophrenia, please contact our psychotherapy offices in New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our offices at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

https://www.mayoclinic.org/diseases-conditions/schizophrenia/symptoms-causes/syc-20354443

https://www.samhsa.gov/mental-health/schizophrenia

https://www.webmd.com/schizophrenia/mental-health-schizophrenia

Depression vs. Grief: Are you depressed or are you just grieving?

GalleryJudy Gurfein Leave a comment

Depression vs. Grief: Are you depressed or are you just grieving?

By, Maro Mikhaeil

Did you experience a loss of some kind, whether it was a loved one, a job, a pet, or even a relationship? Often times, individuals will think that they are experiencing depression when that may not be the case at all. In fact, depression does not solely occur when a traumatic event has occurred but may occur due to genetics or even your environment. However, it may be hard for individuals to distinguish grieving from depression due to the similarities. This is why psychologists or psychiatrists will often ask for your history to determine treatment. Grieving and depression are both characterized by intense feelings of sadness and may have the same cause of trauma and loss. Some individuals may experience both depression and bereavement, commonly known as a process of grief, which causes significant symptoms and functional impairment and is worse than either depression or bereavement alone.

The Differences between Depression and Grief

Depression is characterized by a variety of depressive disorders, such as disruptive mood dysregulation disorder, major depressive disorder, premenstrual dysphoric disorder, substance-induced depressive disorder, medication-induced depressive disorder, and other unspecified and specified depressive disorders. Major depressive disorder is the most common and known type of depressive disorder, as it is the classic condition amongst all the other depressive disorders. It is characterized by depressive episodes that have been occurring for at least 2 weeks and/or longer, which is longer than the grieving process. Major depressive disorder is also more persistent and has more obvious characteristics because individuals will be feeling depressive symptoms everywhere, as opposed to bereavement, which is more of a fluctuating state and varies from person to person. Bereavement entails this grieving process where these negative feelings are accompanied by positive feelings, and as time passes, the wave of negative emotions will spread further and further apart. The grieving process and the associated feelings will also come to an end as the individual fully visualizes their loss through a good recollection rather than a more devastating one.

Treatment options

Despite the differences between the two, major depressive disorder and bereavement are both treatable. Psychotherapy, also known as talk therapy, can definitely treat both major depressive disorder and bereavement. Antidepressants, antipsychotics, and anxiolytics can also target the symptoms of major depressive disorder, and people find them useful in conjunction with psychotherapy.

All in all, it’s important to be mindful of all the similarities and differences and to take action when needed. Your mental health is just as important as your health; you should not let it derail your life, as there is a way out. Remember that you are not alone, as individuals all over the world are experiencing what you may be experiencing right now.

If you or someone you know is experiencing grief or 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 & 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

Sources:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2691160/#:~:text=Most%20bereaved%20individuals%20experience%20intense,both%20bereavement%20and%20major%20depression.

https://www.verywellmind.com/grief-and-depression-1067237

Diagnostic and Statistical Manual of Mental Disorders Fifth Edition by the American Psychiatric Association (DSM-IV)

Suicide: Passive Versus Active Suicidal Ideation

GalleryJudy Gurfein Leave a comment

Passive Versus Active Suicidal Ideation

By: Dyami Efroimson

Experiencing suicidal thoughts is an exhausting experience that many experience on a day to day basis. The consistent pondering of, preoccupation with, and desire to commit suicide is describe using the term suicidal ideation. This concept can be divided into categories; passive suicidal ideation and active suicidal ideation.

Active suicidal ideation involves not only contemplating suicide but devising a plan to do that one intends to follow through on. One who is experiencing this may discuss in detail how they would commit suicide if they were to do so. It is not simple a fleeting thought about ending your life, it is the deep desire and intent to kill yourself. Treatment for active suicidal ideation typically includes hospitalization in an attempt to prevent the individual from inflicting harm on themselves. During this time they will meet with psychiatrists and therapist that will evaluate the severity of their suicidal ideation and how to move forward with treatment. It is important for them to have a support system that can be by their side as they learn to love life again.

Passive suicidal ideation includes having no motivation to continue living and often experience intrusive thoughts about ending their life, but do not actually have a plan to do so. However, if gone untreated, these thoughts can progress into active suicidal ideation. The main difference between passive and active suicidal ideation is the intent; with passive there is not intent to commit suicide, with active there is. If one is experiencing these thoughts, the best way to move forward is to be evaluated by a mental health professional and take each day that you stay alive as a tiny victory.

Suicidal ideation is a spectrum. It can range from simply questioning what it would be like to die, to devising a step by step plan as to how you are going to end your life. Regardless of where on the spectrum one’s ideation falls, it is important to seek help to find the source of why these suicidal thoughts are occurring, whether it be a mental illness or a particular event in your life that triggered it.

If you or someone you know is struggling with suicidal thoughts 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/

What’s the Difference Between Passive and Active Suicidal Thoughts?
What Is Passive Suicidal Ideation?

https://www.theswaddle.com/suicidal-ideation-exists-on-a-spectrum-and-might-involve-no-plans-to-die

https://pubmed.ncbi.nlm.nih.gov/33351435

Bipolar Disorder: The Impact on Family Dynamics

GalleryJudy Gurfein Leave a comment

Bipolar Disorder: The Impact on Family Dynamics

By, Maro Mikhaeil

Living with a family member who has a mental illness is never fun. Especially when it comes to bipolar disorder, which is a disorder where the individual will have frequent highs and lows. This can sometimes be hard on the family members as they witness their loved one struggle and take it out on the family. Individuals with bipolar disorder often go through many hardships and, unfortunately, may not always want to seek help. This can lead to broken families and trauma for other family members. Some individuals may even go undiagnosed, which leads to more devastating consequences that will derail their lives in significant ways.

Types of Bipolar Disorder:

There are two types of Bipolar Disorder: Bipolar Disorder I and Bipolar Disorder II. Bipolar Disorder I is more severe than Bipolar Disorder II and usually is characterized by several days of insomnia because of mania. Mania is characterized by increased energy, excessively high moods, extreme irritability, racing thoughts, distractibility, spending sprees, and denial that anything is wrong.  As for Bipolar Disorder II, the disorder is characterized as experiencing hypomanic episodes, but it is also accompanied by severe depression-like symptoms just as severe as Bipolar Disorder I. These disorders are treatable with medications and psychotherapy. Medications may include mood stabilizers, antidepressants, and antipsychotics to manage elevated mood and depressed episodes.

What can I do to help a loved one with bipolar disorder?

Although it can be tough to be around someone with bipolar disorder, it is also important to understand the illness and seek out a professional that can help. A person with bipolar disorder usually feels isolated because of the condition and faces obstacles on a daily basis. Supporting a family member who may be suffering from this condition is essential for their recovery. Keep in mind that people with bipolar disorder can still lead fulfilling lives, but strongly depends on their support system and their willingness to get help.

If you or someone you know is struggling with bipolar disorder or has a family member with the 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.healthline.com/health/bipolar-disorder/bipolar-1-vs-bipolar-2#treatment

https://www.heretohelp.bc.ca/infosheet/bipolar-disorder-effects-on-the-family

Insomnia: What can cause Insomnia?

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Insomnia: What can cause Insomnia?

By, Maro Mikhaeil

Insomnia is a sleep disorder that is characterized by trouble falling or staying asleep. According to the Cleveland Clinic, around one in three adults worldwide suffer from insomnia symptoms. Sleeplessness can be classified into two categories: acute and chronic. Additionally, insomnia may be a sign of a number of mental health issues or even medical conditions. There are several factors that might cause insomnia, including genetic makeup, stress, anxiety, caffeine, alcohol, and more.

Stress, whether it is from your job or school, may keep you from falling asleep. Given that anxiety causes a lot of worry, it can also interfere with your ability to sleep. Caffeine can cause insomnia because it blocks the adenosine receptor, preventing sleepiness and disrupting your sleep pattern. Additionally, studies have shown that alcohol consumption can adversely affect REM sleep, which is necessary for consistently getting high-quality sleep. Lastly, maintaining good sleep hygiene is essential since poor sleeping patterns can eventually lead to insomnia.

If you or someone you know is struggling with insomnia or 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/

Sources:

https://my.clevelandclinic.org/health/diseases/12119-insomnia

https://www.piedmont.org/living-real-change/how-does-alcohol-affect-your-sleep#:~:text=The%20biggest%20problem%20that%20alcohol,vivid%20dreams%2C%E2%80%9D%20says%20Dr.

https://www.nhsinform.scot/illnesses-and-conditions/mental-health/insomnia%20-%20causes

Anxiety : The Physical Symptoms

GalleryJudy Gurfein Leave a comment

Anxiety: The Physical Symptoms

By: Dyami Efroimson

Living with an anxiety disorder is often accompanied by experiencing persistent feelings of worry and panic over miniscule events in one’s life that are difficult to control. Alongside these feelings of worry, a variety of physical symptoms can also be experienced. Although the direct causes of anxiety are unknown, it is explained by the interaction of several factors such as genetics, the chemical makeup of the brain, and the environment.

                Some of the physical symptoms that one may experience during anxiety attacks are heart palpitations, muscle aches and pains throughout the body that have no apparent cause,  dizzy spells, and shortness of breath. These symptoms come in varying degrees of severity and can interfere with everyday life. But why do these physical symptoms occur?

                As stated before, the direct causes of anxiety have yet to be discovered; however, some symptoms can be explained. Muscle aches, for example, are a result tensing the muscles during times of heightened panic. This tensing can lead to a buildup of lactic acid that results in muscle pains almost anywhere in the body. Another result of this state of tension is ‘tension headaches’, which are pains in one’s head that are caused by heightened tension in the body.

                Commonly, those with anxiety experience pains in their chest, heart palpitations and painful tingling in their extremities. Heart palpitations occur when one becomes hyperaware of the quickness or aggression of their own heartbeat. These symptoms are most likely the result of the hyperventilation that occurs during severe anxiety attacks. Rapid breathing results in decreased blood flow, and can lead to a tingling sensation in one’s hand and feet as well as pains in the chest and change in the rate of one’s heartbeat.

                Another physical symptom experienced by those with anxiety is hypersensitivity. This is the tendency to be hyperaware of how different parts of the body feel, so the pains and discomforts that those without anxiety may be able to deal with, are exasperated. The anxious individual pays more attention to these little aches and pains, causing them to become increasingly severe and difficult to ignore.  Muscles may be tender to the touch and individuals can experience chronic pain that doctors may fail to link to a psychiatric disorder

                Living with anxiety does not simply mean feeling nervous, as some may believe. It is a disorder that affects one’s entire body, and interferes with the ability to perform day to day tasks that come easily to others. However, these symptoms can be treated with psychotherapy, CBT (cognitive behavioral therapy), and medication.

If you or someone you know is struggling with anxiety or 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/

https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

https://www.calmclinic.com/anxiety/signs/aches-and-pains#:~:text=Furthermore%2C%20muscle%20tension%20can%20also,The%20back

https://www.healthline.com/health/hyperventilation#:~:text=Low%20carbon%20dioxide%20levels%20lead,and%20tingling%20in%20the%20fingers.