therapy

Throwing Up: The Fear of Throw Up

GalleryJudy Gurfein Leave a comment

By Caroline Buchanan

The fear of throw up, also referred to as emetophobia, is a specific phobia that revolves around the fear of vomiting, seeing vomit, watching other people vomit, or feeling sick. Emetophobia tends to leave people in a state of anxiety, overtaking their thoughts and engaging in behaviors that impact their everyday life. For example, you may avoid crowded places, traveling, eating out, or closely monitor your own health in an attempt to reduce the distress you may feel. While this anxiety can feel overwhelming and unbearable at times, this condition can be managed by a therapist.

What causes emetophobia?

Specific phobias tend to develop after a specific incident. As a result of this incident, an association is created between a thing – an object, situation, or an event – and a fear (Psych Central). Specifically in the context of emetophobia, this could involve getting sick in public, someone vomiting on you, having a bad case of food poisoning, or seeing someone else throw up. Emetophobia can also develop without a clear cause, causing experts to believe that genetics and the environment play a role. Regardless of whether you can pinpoint an incident or not, this anxiety can still be managed.

How can emetophobia be managed?

Exposure therapy is considered to be one of the most effective treatments. In this type of therapy, your therapist will expose you to your fear at a slow rate. This could involve trying a new food at a restaurant or spinning around until you feel nauseous. With these actions, you will be provided with techniques to help you cope with these feelings of anxiety. The goal is that the more you are exposed to your fear, the more you feel comfortable with it. Talk therapy and cognitive behavioral therapy (CBT)can also be used to help learn how to identify and challenge negative thought patterns in your anxiety. While it may take some time to find the right therapist and techniques for you, it is worth it to alleviate the distress in your life.

If you or someone you know is suffering from emetophobia, 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.healthline.com/health/emetophobia#outlook

Relationships & Long Distance: Strategies to Succeed

GalleryJudy Gurfein Leave a comment

Relationships & Long Distance: Strategies to Succeed

By Caroline Buchanan

One of the ultimate tests for a romantic relationship is maintaining the relationship despite the distance. As a result, this could lead to distinct challenges and obstacles. While research from 2018 suggests that couples who live farther than an hour apart tend to break up, at least 60% of partnerships still make their long distance relationship succeed. What are these people probably doing to make it work? The best answer seems to be making the distance work for your relationship, and not working around it (Psych Central). There are strategies that can be implemented to help manage and avoid these common roadblocks.

Strategies:

  • Communication

Your communication method may be the key difference in whether your relationship lasts or falls apart. Phone calls or video calls should be used for heartfelt conversations or heavier discussions. Arguments in text based conversations can lead to misinterpreting the intention behind a message. Use texting mainly for casual contact such as “good morning” and “enjoy your day” type messages.           

  • Acknowledging Fear-based behaviors

 Long distance relationships tend to bring out fears: Fear that the other partner doesn’t care anymore or is going to leave you for someone else. While it’s not uncommon to feel these fears, it is important to recognize these negative thinking patterns. If you are open and clear in your communication with your partner, this may help prevent or subside fears. Let your partner clarify situations that may be bothersome to you.

  • Intimacy

 If you both are comfortable in your relationship, you could imitate the physical connection and enjoy pleasure together by trying erotic conversations, video sex, or phone sex. Make sure you are open and honest about your expectations in engaging in these activities.

While it requires intent and effort, maintaining love in a long-distance relationship is possible. Take the time to think about seeking the help of a mental health professional if you’re experiencing challenges or feeling anxiety in your relationship. This would help you develop specific skills to be able to establish secure bonds.

If you or someone you know is struggling in a long distance relationship, 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://psychcentral.com/lib/how-to-make-long-distance-relationships-work

Somatic Therapy

GalleryJudy Gurfein Leave a comment

Somatic Therapy

By: Amelia Amen

When an individual goes through a traumatic experience, the trauma they experienced may often remain in their body. Somatic therapy is a rising form of therapy that allows individuals to engage in a mind-body connection in order to minimize any arousals of stress. The practice of somatic therapy involves acknowledging how stress and trauma are experienced in the body, then following with engaging in body techniques such as dancing, body scans, etc. The re-occurring feeling of trauma being stored in the body is the result of the nervous system remaining in survival mode, leading to high levels of cortisol being continually released. Cortisol is one of the leading hormones that increases stress levels in the body. Incorporating somatic therapy with CBT (Cognitive Behavioral Therapy) is a gentle approach to managing the body’s stored trauma. Somatic therapy can benefit individuals with PTSD, anxiety, depression, coping with grief, experiencing chronic illness or pain, sexual dysfunction, addiction, insecurities, abuse, and more.

Types of Somatic Therapies

  • Hakomi Method: Encouraging the growth of an individual by using mindfulness and experimental practices. It is a holistic approach that focuses on increasing our internal awareness
  • Grounding: Connecting the body to the earth. The individual will use sensory skills to feel energy from the ground to their feet. This is to embody and experience the present moment.
  • Titration & Pendulation: Slowing down and portioning the recollection of trauma to reduce immediate emotional and physiological responses. Pendulation, moving back and forth between feelings, is needed to achieve titration in order to make sensations of stress more manageable.
  • EMDR (Eye Movement Desensitization and Reprocessing): The process of moving your eyes in a specific direction while discussing or embodying traumatic memories. The goal of EMDR therapy is to encourage the brain to process any discomforting experiences and memories. 
  • Resourcing: A therapist will have an individual recall a precious memory or resources that are attached to positive and calming feelings. An example of this could be reminding oneself of a location or person in which they find happiness.

Some benefits that may be a result of somatic therapy include self-regulation in the nervous system, increase in resilience and re-empowerment, developing bodily awareness, and releasing tension along with other positive results. It is important to remember that somatic therapy is not meant to be in replacement of CBT. When experiencing emotions stemming from anxiety, trauma, or depression, it is beneficial to attend talk therapy sessions as a primary source of mental health care, with somatic therapy being only an addition. The goal of somatic therapy is to find relief in your mind and body’s negative sensations to produce more calming and comforting feelings.

If you or someone you know is seeking therapy 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 Psychotherapy & Psychiatric Services. Contact our Manhattan, NY or Paramus, NJ 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://psychcentral.com/blo

The Courage to Love Again-The Psychology of Heartbreak

GalleryJudy Gurfein Leave a comment
By Kyra Bernardez

The risk of loving someone is the fact that heartbreak may come one day. It is associated with singlehood, neurotic tendencies, and an anxious/avoidant attachment. After the heartbreak one starts the fear being hurt again or/and you start to believe that there is something about you that makes it impossible for someone to love you properly.

Romantic love activates in the caudate nucleus through dopamine.  Psychologist refer to this part of the brain as the “reward system”, emphasizing the idea that love does trigger emotion but essentially it is more of a motivational state, the motivation to obtain and retain the objects affection. This part of the brain lights up when someone is in love and when someone is a cocaine addict, meaning you are essentially an addict. Getting over your lost love will be tedious but well worth it. Researchers have found that if a person was no longer in love but still in pain from a break up their brain would still be in motivation mode, and expecting a reward. Hence why heartbreak can bring visceral pain, your body is not getting what it wants. The grieving person has numerous neural circuits devoted to the lost person, and each of these has to be brought up and reconstructed to take into account the person’s absence.

Specifically, the pain may be caused by the simultaneous hormonal triggering of the sympathetic activation system (fight-or-flight system that increases the activity of the heart and lungs) and the parasympathetic activation system (rest-and-digest response, social engagement system). It’s like heart’s accelerator and brakes are pushed simultaneously, creating the feeling of heartbreak.

What can help?

  • Give yourself time to grieve and reflect
  • Forgive the other person and yourself
  • Work on rebuilding good feelings about yourself and a life on your own
  • Avoid assumptions that keep you mired in the wreckage of your past relationship
  • Be aware of old relationship patterns
  • Be open to someone who is different
  • Give love time to grow

If you or someone you know is seeking therapy due to heartbreak, 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://greatergood.berkeley.edu/article/item/this_is_your_brain_on_heartbreak

https://www.psychologytoday.com/us/blog/complicated-love/202011/love-after-heartbreak

https://www.psychologytoday.com/us/blog/complicated-love/202011/love-after-heartbreak

Depression & Anxiety: Overcoming toxic positivity

GalleryJudy Gurfein Leave a comment

By Veronica Oquendo

Have you ever been through a bad event, like a break-up or loss of a family member, and then have someone say “stay positive” or “everything happens for a reason?” These are both examples of toxic positivity. Toxic positivity is an attitude that focuses on staying only positive, and rejecting any negative thoughts or emotions. It is especially relevant during the pandemic, with people brushing off the negative realities of Covid-19, and say it’s “just extra time for you” or “it’ll be over before you know it.” These people are failing to recognize the emotional exhaustion Covid-19 has brought upon us, with death of loved ones, prolonged social isolation, and anxiety over health concerns. It is usually not helpful to be toxically positive, as it can be detrimental to mental health.

The individual fails to process their emotions healthily, is forced to stay quiet over their struggles, and not feel connected to others. It is important to feel a full range of emotions, including the unpleasant ones.  Toxic positivity can leave you feeling shame or guilt over your feelings. One should instead, give oneself permission to feel painful emotions and remember that your feelings are significant and valid. One can manage the negative emotions in a way that does not deny their existence.

Toxic positivity is not helpful to others going through a dilemma. People that are utilizing toxic positivity are most likely minimizing the feelings of the one going through pain for their own comfort. Telling someone “stay positive” when they are going through one of the darkest periods of their lives, invalidates their suffering. Most people need someone to show support by listening to them, without judgement or advice, and being told their feelings are valid.

If you or someone you know is struggling with depression and 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:

https://www.verywellmind.com/what-is-toxic-positivity-5093958

https://www.psychologytoday.com/us/blog/the-man-cave/201908/toxic-positivity-dont-always-look-the-bright-side

Phobias

GalleryJudy Gurfein Leave a comment

By Veronica Oquendo

Phobias are defined in psychology as an intense and irrational fear of a specific object or situation. Currently, 9.1% of U.S. adults suffer from a specific phobia. Some of the most common phobias include: Acrophobia (heights), ophidiophobia (snakes), and Mysophobia (germs and dirt. The DSM-5 divides the phobias into 5 categories:

Natural/Environment Type: Thunder and lighting (astraphobia), Water (aquaphobia)

Injury Type: Injections (tryanophobia), Accidents (Dystychiphobia)

Animals or Insects: Spiders (arachnophobia), Dogs (cynophobia)

Situational: Enclosed Spaces (claustrophobia), Flying (aviophobia)

Other: Vomiting (emetophobia), Choking (Pseudodysphagia) 

Although, not all fears are considered phobias, it would need to fit the criteria of being: unreasonable and excessive, have an immediate anxiety response, have recognition that the fear is irrational and not required, avoidance or extreme distress, and be life limiting, have at least a six month duration, and not be caused be another disorder. Exposure to the phobia has been known to cause severe panic attacks. Treatment for phobias include: psychotherapy, cognitive behavioral therapy (CBT), medication management, exposure therapy, stress management techniques, and support groups.

If you or someone you know is struggling with a specific phobia, 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/anxiety-disorders/index.shtml

https://www.psychologytoday.com/us/conditions/specific-phobia

Mental Health Consequences During Covid

GalleryJudy Gurfein Leave a comment

By Veronica Oquendo

COVID- 19 has shown to have devastating medical health consequences with the recent death toll at 425 thousand and rising. However, the mental health consequences may be overlooked, even though they are condemning, and can also lead to death from suicide. The Center for Disease Control and Prevention’s Morbidity and Weekly Report surveyed and found that 40.9% of those reporting had at least one adverse mental health condition, an uptick from last year. The most vulnerable of the population affected were among age group 18-24 years old, minority racial and ethnic groups essential workers, unpaid caregivers for adults, and those already receiving treatment for psychiatric conditions. The highest increase in symptoms being from anxiety and depressive disorders (30.9%). Anxiety disorder was three times more likely to be prevalent this year than in 2019. Due to the overwhelming stress and worry caused by the pandemic, alcohol and drugs are used to cope in unhealthy proportions. Furthermore, past studies have shown links between social isolation and suicide. Due to the safety regulations of social distancing and quarantine for COVID-19, more people have been feeling lonely, frustrated, and bored causing a rise of suicidal ideation. 

If you or someone you know is struggling with the mental health consequences of COVID-19, 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.cdc.gov/mmwr/volumes/69/wr/pdfs/mm6932a1-H.pdf

https://www.psychologytoday.com/us/blog/lifting-the-veil-trauma/202009/the-psychological-impact-covid-19

Anxiety: Going Back to School during a Pandemic

GalleryJudy Gurfein 1 Comment

By Mizuki Wada

You know it’s time to get ready for school or work when you see the pumpkin displays and school supplies in stores. However, with the global pandemic going on this year there is far more tension and nervousness besides the first day jitters. From parents sending their kids, faculty going back to classrooms or students getting ready for in-person sessions, many of those could be feeling high pressure and anxiety. However, here are a few ways that could help you steer clear from overwhelming anxiousness.

  • Acknowledge– It is crucial to acknowledge your feelings and stress. Understanding the reason why you’re feeling a certain way is the key to finding a solution.
  • Attitude– Try to look at the big picture and find some positive factors of returning to school. Only looking at the negative aspects can cause the situation to be a lot scarier than it actually is.
  • Support– Find a support group! Whether it be your family or friends, having people that would listen to you talk is very beneficial. Try talking about how you’re feeling to those who understand you.
  • Knowledge– Educate yourself on the situation. People can tell you one thing, but are they really true? Limit your news intake and check whether these sources are trustworthy or not. There’s a difference between educating yourself and filling yourself with information.
  • Physical Health– Although it may sound irrelevant, mental health and physical health go hand in hand. Even if it’s a simple walk or a yoga session, moving your body physically can help alleviate stress. It’s important to keep a healthy body for a healthy mind.

If you or someone you know is struggling with Anxiety or any other mental illnesses, 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

Reference:

https://www.psychologytoday.com/us/blog/beyond-the-doubt/202003/respond-instead-react-managing-covid-19-anxiety

https://www.realsimple.com/health/mind-mood/stress/manage-back-to-school-stress-coronavirus

Divorce Rates during COVID-19

GalleryJudy Gurfein Leave a comment

    Divorce Rates during COVID-19

    By: Alexa Greenbaum

    Quarantined married couples are causing an increase in divorce rates during the coronavirus crisis. While accesses to courts are limited at this time, many professionals believe that there will be a rush to the courthouse when operations resume. For example, New York divorce attorney Marcy Katz stated, “when restrictions are lifted, I do not doubt that there will be an overwhelming number of filings.” This has been consistent with recent data. According to reports from a multitude of cities, husbands and wives have begun filing for divorce since emerging from government-mandated lockdowns.  

    People, including spouses, are not accustomed to spending so much one-on-one time together. Through daily struggles, increases in fear, poor coping skills, and emotional and financial stress, these factors can take a toll on marriages, increase tensions, and ultimately negatively affect a relationship. Katz has also suggested that increases in divorce rates may also be because people are coming to terms with their mortality and want to make positive changes in their lives. Higher rates of domestic violence have also been reported from numerous sources during this time, which she explained is an additional component in many relationship breakups. This is because this time of uncertainty is causing conditions such as extreme stress and threaten the status quo, therefore encouraging many to make major life-changing decisions.

    In response to an increase in divorce predictions, the AAML is conducting a nationwide survey to yield figures on just how widespread the lockdown breakdown of marriages.

    If you or someone you know is experiencing conflict with their partner from 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://abcnews.go.com/US/surge-divorces-anticipated-wake-covid-19-quarantine/story?id=70170902

    https://www.bloomberg.com/news/articles/2020-03-31/divorces-spike-in-china-after-coronavirus-quarantines

    https://www.psychologytoday.com/us/blog/singletons/202004/more-babies-or-more-divorces-after-covid-19

    Image Source:

    https://lawlawfirm.com/rising-divorce-rates-during-the-coronavirus

    COVID-19: Parenting in a Stressful Time

    GalleryJudy Gurfein 1 Comment

    COVID-19: Parenting in a Stressful Time

    By: Alexa Greenbaum

    Parenting in confinement during COVID-19 has many challenges. For many, the home has become the office and the classroom, making it more difficult to be productive and motivated. During this stressful time in isolation, it can be very difficult to keep children occupied while also working remotely, dealing with finances, and navigating the danger of the coronavirus. However, by creating structure, setting boundaries, and encouraging open communication, parents can improve their family dynamic.

    Parents are having to take on more responsibilities than ever before. Especially in a very uncertain time, it is normal for children and parents to feel anxious, stressed, and overwhelmed. As a result, many parents and children are reacting to today’s stressors by acting out or regressing to behaviors long outgrown. Due to the additional stressors that come with COVID-19, parents are taking on too much which is causing parents to feel stressed, frustrated, and resentful. According to the APA’s Stress in America survey, “73% of parents report family responsibilities as a significant source of stress.” This can erode the feeling of mutual support and respect that is crucial to a healthy relationship.

    To help, creating some structure in your life, such as a routine and designating a workspace for children to do their schoolwork and homework can be an effective way to set boundaries and help a family cope with stress. Thanking your child for allowing you to do your work, is an effective tool as it positively reinforces your child to continue giving you the space you need to be productive.

    Sharing and designating daily responsibilities can improve the quality of a parent’s relationship with their children. Working together as a family and designating different tasks is something you and your children can control, and it teaches children to focus on those things they can control when feeling stressed.

    To help parents create a healthy family dynamic in the climate of COVID-19, the way parents talk to their kids may need to be readjusted as well. Initiating regular open conversations with their kids. Giving your children your undivided attention can help a family work together to better understand, acknowledge, and address any stressors children are experiencing. Calming your children’s fears is important.

    Take advantage of this time together, it can be an opportunity for your relationship with your kids to grow, but don’t forget to take care of yourself! For support, discussing experiences with friends, relatives, or a telehealth mental health professional can be helpful. At Arista Counseling, we have a multitude of different therapists that can help you.

    If you or someone you know is looking for 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.apa.org/topics/covid-19/parenting-during-pandemic

    https://www.apa.org/helpcenter/managing-stress

    https://www.psychologytoday.com/us/blog/little-house-calls/202003/parenting-during-covid-19

    Image Source:

    https://www.parkview.com/community/dashboard/dealing-with-parenting-stress-during-covid-19