Burnout Syndrome: Causes, Symptoms & Strategies

Burnout Syndrome: Causes, Symptoms & Strategies

By: Stacey Rodriguez

The term “burnout” has been a popular buzzword for the past several decades. In 2019, Burnout became officially been recognized as a syndrome by the World Health Organization (WHO). It is defined as a reaction to chronic occupational stress, however, lifestyle and personality traits often play a role in exacerbating this stress.

 Causes often include:

-Working in a high pressure environment

-Work is mundane or unchallenging

-Lack of recognition/reward

-Not spending enough downtime socializing or relaxing

-Perfectionist tendencies 

The syndrome is characterized by three dimensions: exhaustion, reduced professional efficiency, and cynicism (pessimistic views). These symptoms can manifest physically, emotionally, and behaviorally.

Common symptoms entail:

-Feeling exhausted most of the time

-Decreased satisfaction and sense of achievement

-Frequent headaches or muscle pain

-Changes in appetite or sleep habits

-Isolating yourself from family and friends

-Procrastinating essential tasks

On the surface, burnout may seem like regular stress, though there are several key differences which make the two fundamentally different. For example, stress involves over-engagement, urgency and hyperactivity. If chronic, stress often leads to anxiety disorders and a weakened immune system. On the other hand, burnout is characterized by the disengagement which follows a period of continuous stress, during which emotions are blunted; this produces feelings of helplessness and hopelessness which may lead to detachment and depression.

Now, during the Covid-19 Pandemic, the syndrome has become increasingly more common as the online workforce has melted the boundary between work and home. It’s more important now than ever to have strategies readily available to combat Burnout Syndrome.

Here are some strategies you can try from home:

-Reframe your outlook on work: focus on aspects of work that you enjoy, how your role helps others 

-Set boundaries! Learn how to say “no” so that you don’t overextend yourself

-Eat a healthy diet: minimize sugar, refined carbs, and overly processed food

-Exercise regularly! Try to aim for at least 30 minutes per day

If you or someone you know is seeking therapy for Burnout Syndrome, 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/

Source: https://www.verywellmind.com/stress-and-burnout-symptoms-and-causes-3144516

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Borderline Personality Disorder (BPD): Understanding BPD and how to Appropriately Respond to Provocations as a Loved One

Living with Borderline Personality Disorder (BPD) not only affects the individual, but those with whom they have formed a relationship. Relationships are present and strong, but experience more turbulence due to key symptoms of BPD such as: intense reactions, self- doubt, extreme idolization or devaluation, fear of abandonment, mood swings, risky behaviors, etc. There is no one “cause” of a personality disorder like BPD, but studies show that patients with BPD come from families of severe pathology leading to their provocative behavior patterns.

People with BPD engage in provocative behaviors like making wild accusations, over- the- top demands, threatening suicide, etc., all with the intention of being invalidated by their counterparts as they have been their whole life. They feel invalidated (which fuels self- doubts) when they evoke one of three reactions from their counterpart: anxious helplessness, anxious guilt, or overt hostility. If these reactions are displayed, their poor behavior is rewarded and will continue, and feelings of self- doubt are reaffirmed.

When someone with BPD makes a wild accusation, resist invalidating them while disagreeing with the accusation. If they say, for example, “I can tell you hate me,” you can reply with, “I’m sorry you feel that way. I wish there was something I could do that would convince you I love you.” Here, you are disagreeing with the accusation while validating their feelings, and not showing one of the craved reactions. Their poor behaviors are thus not rewarded and feelings of self- doubt are not reaffirmed. Further, simply listen and be attentive. People with BPD most likely grew up being invalidated so they want to feel cared about. When talking to someone with BPD, incorporate the counseling technique “reflection of feelings”. This is defined by interpreting one’s feelings based on their verbal and nonverbal cues. When you’re able to interpret someone’s feelings, it demonstrates that you are paying attention and care, which is of utmost importance to someone with BPD.

If you or someone you know is seeking therapy for a codependent 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/

Sources:

https://www.nami.org/Personal-Stories/What-Is-BPD

https://www.psycom.net/personality-disorders/bpd-and-relationships/

https://www.psychologytoday.com/us/blog/matter-personality/201401/responding-borderline-provocations-part-iii

https://www.psychologytoday.com/us/blog/matter-personality/201403/responding-borderline-provocations-part-iv

https://www.psychologytoday.com/us/blog/matter-personality/201403/responding-borderline-provocations-part-v

https://www.psychologytoday.com/us/blog/matter-personality/201405/responding-borderline-provocations-part-vi

Drug Consumption Rose During COVID-19

By: Priya Desai

Coronavirus is a hard time for everyone and there has been a lot of adjusting to do. Many people turned to drugs and alcohol to deal with the stress, anxiety and depression that they were feeling. Due to this, there was an apparent increase in both quantity and how often people were using drugs during the pandemic. These coping mechanisms are only temporary and cannot fix the problems that people are actually facing.

Months after the pandemic started, there was a survey done in Florida to see how often drugs and alcohol are being used. Almost 80 percent of the participants reported using alcohol in the past month, over 35 percent reported using marijuana, and 10 percent of participants were using stimulant drugs. Along with this, overdoses have spiked since the pandemic began. The increase usage of drugs during the pandemic has occurred primarily among young adults. A few of the reasons for this are economic stress, boredom, general anxiety about the pandemic, fear of acquiring the virus, and loneliness.  With school being online and the stay-at-home act being in order, students had free time which resulted in them abusing substances. Instead of using drugs, people can find a hobby, whether it be painting, exercising, or baking. In addition, with classes being held virtual and jobs being lost due to the pandemic, young adults were worried and stressed. This resulted in an increased use of drug and alcohol in attempt to cope with the stress.

If you or someone you know is struggling with drug abuse caused by the pandemic 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/

Citations: https://www.psychologytoday.com/us/blog/social-instincts/202012/drugs-choice-in-the-era-covid-19

https://www.apa.org/monitor/2021/03/substance-use-pandemic

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Codependency: Recognizing Toxic Behavior

  • Self-sacrifice
  • Hyper focusing on your partner
  • Idealizing your partner
  • Controlling behavior
  • An overwhelming fear of abandonment

People who find themselves in codependent relationships often have seemingly low self-esteem and poor interpersonal boundaries. These interpersonal issues make them susceptible to a need to please others and take responsibility for other people’s problems. The main issue with codependency is the inability to differentiate oneself as an individual in a relationship. A healthy dependent relationship does not mean you are no longer an individual, it simply means you will be there for each other in times of need, and will know when to say your partner is asking too much of you. However, if you find yourself constantly putting the needs of someone else before your own, you may be in a codependent relationship.

A mental health professional can offer help with codependency by:

  • Helping to recognize signs
  • Eliminating people-pleasing actions
  • Addressing co-morbid disorders such as depression or anxiety
  • Helping to rekindle your sense of self
  • Setting boundaries

If you or someone you know is seeking therapy for a codependent 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/

Sources:

https://www.psychologytoday.com/us/basics/codependency

https://psychcentral.com/lib/symptoms-signs-of-codependency#is-it-the-same-as-being-dependent

Image Source:

https://www.verywellmind.com/what-is-codependency-5072124

Vaping’s Tie to Mental Health

Vaping’s Tie to Mental Health

By: Jaylyn Senise

Vaping has become a recent craze, specifically within the teenage populations.   It has become more popular than even tobacco and marijuana. These vaping devices come in a range of different sizes and shapes, and the most popular of vapes include JUUL and different types of hookahs. Despite the admiration, vaping comes with a plethora of potential risks. The majority of these risks involve physical attributes such as lung disorders and general wellbeing. Oftentimes, this is all that is noticed, while the mental health detriments that become present with vaping are overlooked.

Vaping devices contain nicotine which alters the brain pathway. The synapses, which are the brain cells connections, become formed abnormally due to the nicotine. According to an article written on the National Institute of Health (NIH) website, synaptic dysfunction has been found to be a “casual factor for neuropsychiatric diseases.”   In addition, because the nicotine content of vaping devices is significantly higher than the typical combustible cigarettes, it becomes easier to generate dependence on it.  Dependence to vaping has been found to be associated with impulsivity, mood disorders, anxiety, suicidality and depression; the effect is even higher with adolescent teens.  These devices also have long term effects on mental health. For those with mental health disorders, vaping can exacerbate them due to the interruption of the cerebral dopamine pathway. In turn, this heightens the depressive symptoms.

Those who want to quit vaping should ask a healthcare professional for assistance. To manage nicotine withdrawal, the individual should build a quit plan to better organize and maintain a system, stay hydrated, get a consistent sleep schedule, and try to get support from friends and family. This will help keep the individual accountable. Quitting vaping may seem like a long and laborious process, but the negative health consequences that vaping incurs make the issue urgent.

If you or someone you know is struggling with a nicotine addiction, 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.webmd.com/connect-to-care/vaping/what-is-vaping

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5793422/

https://blogs.bcm.edu/2021/05/06/vaping-and-mental-health-whats-the-connection/

https://teen.smokefree.gov/quit-vaping/vaping-addiction-nicotine-withdrawal

Image Source

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Eating disorders: How You Can Help a Loved One with an Eating Disorder

Eating Disorders: How You Can Help a Loved One with an Eating Disorder

By: Hallie Katzman

Diet culture and body idealization are staples in society that often encourage people to overthink and become hyperaware of their body image, potentially leading to unhealthy relationships with food and exercise. Due to a combination of genetic and sociocultural factors, unfortunately eating disorders are very common and affect at least 9% of the population. Eating disorders take a strong mental, emotional and physical toll on peoples’ bodies. These symptoms can be scary or distressing for not only the person experiencing the symptoms firsthand, but also for their loved ones. Watching someone you care about struggle can make you feel helpless and worried.

Fortunately, there are supportive ways to help your loved one begin or continue their recovery journey. First, ask them if you can be involved in their eating disorder treatment to let them know that you are there for them and that you support them. Once the supportive, nonjudgmental relationship is fully established, you can consider encouraging them to go to therapy. This could mean group therapy, inpatient therapy or outpatient one on one therapy sessions with a mental health specialist. Additionally, supporting a loved one can be stressful or exhausting. Remember to take care of yourself and your own mental health as well. Be gentle towards your loved one and towards yourself and remember to not lose hope. Recovery is not always a linear process and the road to recovery may not always be easy, but it is possible.

If you or someone you know is struggling with an eating disorder or other mental health concerns, please contact our psychotherapy offices in New Jersey or New York 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 schedule an appointment. Please visit our website http://www.counselingpsychotherapynjny.com/ for more information.

Sources: https://www.rtor.org/2017/02/07/dos-and-donts-eating-disorder-recovery/?gclid=Cj0KCQjwxJqHBhC4ARIsAChq4au6fNUoIaQpHAwoyO3zvaQaUIPU4IdKB3ioYw5c3kEWhV58aJny_iEaAqtuEALw_wcB

https://anad.org/get-informed/about-eating-disorders/eating-disorders-statistics/?gclid=Cj0KCQjwxJqHBhC4ARIsAChq4atr2S1zgAy3MNj0_y9dXTNv7I6ObnrlxezDutSZg5l9CQrMwknDpQcaAlWGEALw_wcB

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Hypochondria during the COVID-19 Pandemic

Hypochondria during the COVID-19 Pandemic

By: Jaylyn Senise

Hypochondria, or the anxiety surrounding one’s health, is characterized by the fear of contracting a disease or illness. This anxiety is more common than one would expect, especially within these current times of COVID-19 where it has been heightened. Prior to the COVID-19 outbreak, according to MedicalNewsToday, approximately 4-6% of the world population deals with clinically significant hypochondria. Today, some people may begin to feel anxious given the highly contagious nature of the disease in addition to the lack of information regarding the future of the disease. Oftentimes, this may lead to physical symptoms that emerge due to the stress associated with being exposed to someone sick or contracting a disease.  With the coronavirus pandemic, hypochondria may be intensified because some of the most common symptoms such as coughing and sore throat are common and may be due to other more common colds other than COVID-19.

Some signs of hypochondria include worrying that you have serious illnesses given minor symptoms, being easily panicked regarding their health status, being preoccupied by one’s wellbeing, and avoiding people and activities in fear of risk. Proper treatment for hypochondria includes behavioral stress management programs, Cognitive Behavioral Therapy, and visiting specialists for anxiety. The usage of antidepressants, for example Prozac and Luvox, and antianxiety medications are advised to control the effects of hypochondria.

If you or someone you know is experiencing hypochondria, 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.medicalnewstoday.com/articles/hypochondria-and-covid-19

https://www.webmd.com/anxiety-panic/features/worried-sick-help-for-hypochondria

https://www.nytimes.com/ 2018/06/18/well/a-new-approach-to-treating-hypochondria.html

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Anxiety: Back to School Anxiety

Anxiety: Back to School Anxiety

By: Hallie Katzman

Although going back to school can be very exciting for children, some kids experience high levels of stress and anxiety associated with the end of summer and the beginning of the new school year. 7.1% of children between the ages of 3 and 17 years old have diagnosed anxiety. Anxiety disorders can be characterized by feelings of tension, intrusive or worried thoughts and physical symptoms such as sweating or a rapid heartbeat. These feelings can be heightened by stressful situations, such the transitional period of going back to school after summer vacation. Children can experience many types of anxiety related to going back to school such as separation anxiety, generalized anxiety, obsessive compulsive disorder, panic disorder or social phobias and specific back to school anxiety.

These anxiety disorders can be treated through therapy plans to help manage or reduce the child’s symptoms through techniques such as rehearsing a school day. Additionally, mental health professionals can also advise the child’s parents of different techniques to help their child ease their back to school anxiety. Family, friends and teachers can help to create a supportive environment for the child when they go back to school to make the transition easier and less anxiety provoking. If the back to school anxiety persists longer than the first couple weeks of typical jitters and is causing distress to the child’s daily life, then meeting with a therapist would be beneficial to help them better manage symptoms.

               If you, your child or someone you know is experiencing back to school anxiety or other anxiety disorders or mental health issues, 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 & Psychotherapy. Contact our Paramus, NJ or Manhattan offices respectively, at 201-368-3700 or 212-722-1920 to set up an appointment. Please visit http://www.counselingpsychotherapynjny.com/ for more information.

Sources: https://childmind.org/article/back-school-anxiety/

https://nyulangone.org/conditions/anxiety-disorders-in-children/types

https://www.apa.org/topics/anxiety#:~:text=Anxiety%20is%20an%20emotion%20characterized,recurring%20intrusive%20thoughts%20or%20concerns.

https://www.cdc.gov/childrensmentalhealth/features/anxiety-depression-children.html

Image source: https://www.anxietycanada.com/articles/helping-your-child-cope-with-back-to-school-anxiety/

Munchausen’s Syndrome

By Charlotte Arehart

Munchausen’s syndrome is a factitious disorder where the individual continuously pretends to have various ailments and illnesses to seek medical attention for them. There are several other versions of Munchausen’s syndrome, including Munchausen through proxy as well as Munchausen through the internet. Munchausen’s syndrome is a mental illness that often comes along with other mental difficulties such as depression and anxiety.

Since Munchausen’s syndrome is a factitious disorder, it can be difficult to diagnose sometimes. After all, the patient is likely to be lying about their symptoms and illnesses. There are a few things that may hint that a patient has Munchausen’s syndrome, such as inconsistent medical history, constantly changing or unclear symptoms, predictable relapses, extensive medical knowledge, new symptoms after a negative test or undesired test results, symptoms are only present when the patient is being watched or is near people, and seeking treatment in many different places.

Many times in the news we hear about cases of Munchausen’s syndrome by proxy, which is when a caregiver or parent pretends that their child is afflicted by ailments. There are many famous cases of Munchausen’s syndrome by proxy, such as the case of Gypsy Rose Blanchard. In cases of Munchausen’s syndrome by internet, the individual attends online support groups pretending to be afflicted with the struggle that those who are attending the meetings are actually experiencing. This could be either to mock those who are attending, or simply for attention.

It is important that medical staff keeps an eye out for those who may be experiencing Munchausen’s Syndrome, since it can be difficult to spot. Those who are suffering from Munchausen’s Syndrome or Munchausen’s Syndrome by proxy should seek mental health treatment as soon as possible.

If you or someone you know is struggling with Munchausen’s syndrome, 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.webmd.com/mental-health/munchausen-syndrome

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3554979/

https://10faq.com/health/munchausen-syndrome-symptoms/?utm_source=7017173049&utm_campaign=6449781305&utm_medium=78641056298&utm_content=78641056298&utm_term=munchausen%20syndrome&gclid=CjwKCAjwieuGBhAsEiwA1Ly_nQk9C1zizAwKaVlu7DhBKde8bnBOPK7v4QhwG7rYBc-ZZj3av-254BoCzqAQAvD_BwE

Image Source: https://healthproadvice.com/mental-health/An-Understanding-of-Munchausen-Syndrome

Anxiety and Depression: Rumination

By: Lauren Zoneraich

Rumination is the cognitive process of repeating negative thoughts without completion, much to one’s distress. In the mind, the thoughts play like a broken record. Rumination can involve negative thoughts about the past or present, and the self. This form of cognition plays a key role in many psychological conditions, such as depression, generalized anxiety disorder, social anxiety, alcohol abuse, OCD, PTSD, and eating disorders. Rumination is a passive process. One feels as if one cannot control repetitive, dominating thoughts. These distracting thought circles can last for long periods of time and disrupt work, school, and social life. Rumination is different than worry in that rumination involves negative thought content rather than thought content related to uncertainty. Worry usually is tied to the future, while ruminative thoughts are usually tied to the past or present. Rumination can impact physical health by increasing stress levels.In the context of depression, rumination usually involves negative self-assessments, such as feelings of inadequacy or worthlessness. These feelings can lead to anxious responses and further worsen one’s emotional state.

There are some intervention strategies to disrupt rumination. One way is to distract oneself with other activities, such as socializing or exercising. Cognitive Behavioral Therapy, or CBT, is a therapy approach that aims to change negative thought patterns. Patients learn to recognize their distortions, irrational thoughts, and negative thoughts. Once they recognize these thoughts, patients reframe negative thoughts and assess the irrationality of their thoughts. Patients also learn methods to calm their mind and body through breathing exercises and thinking of things they associate with feeling calm and peaceful. Patients are also encouraged to think of action plans to address their negative thoughts.

If you or someone you know is struggling with anxiety or depression, or is seeking Cognitive Behavioral Therapy for rumination, 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:

Sansone, R. A., & Sansone, L. A. (2012). Rumination: relationships with physical health. Innovations in clinical neuroscience9(2), 29–34. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312901/

https://www.psychologytoday.com/us/blog/depression-management-techniques/201604/rumination-problem-in-anxiety-and-depression

https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral

Image Source:

https://blogs.kcl.ac.uk/editlab/2018/10/12/r-is-for-rumination/