Social Anxiety Disorder: More Than Just Being Shy

By: Gabriella Phillip

Social Anxiety Disorder, also known as social phobia, is a mental health condition involving an intense, persistent fear of being watched or judged by others. The fear that people with social anxiety experience in social situations is so strong that they often feel as though it is beyond their control. Social Anxiety Disorder affects around 15 million American adults and is the second most commonly diagnosed anxiety disorder following specific phobia.

Common symptoms for people with social phobia include

  • being extremely anxious around other people,
  • being self-conscious in front of others,
  • being very afraid of being embarrassed in front of other people
  • being the focus of other people’s judgment
  • worrying for days or weeks before a social event
  • having a difficult time cultivating friendships
  • avoiding places where other people will be present

Bodily symptoms for people with social anxiety include

  • heavy sweating
  • trembling
  • nausea
  • blushing
  • having difficulty speaking

Social phobia sometimes runs in families, but no one knows for sure why some people have it, while others don’t. When chemicals in the brain are not at a certain level it can cause a person to have social phobia. Social anxiety usually begins during childhood/ teenage years, typically around age 13. A doctor can tell if the person has this disorder if symptoms are present for at least 6 months. This disorder should be treated in a timely manner to help spare those diagnosed from years of unpleasant feelings and anxiety.

Treatment can help people with social phobia feel less anxious and fearful. Two types of treatments used for Social Anxiety Disorder are psychotherapy, or talk therapy, and medication that’s safe and effective, often used in combination. Cognitive behavior therapy is an effective type of psychotherapy used for anxiety related disorders. Medication used to treat Social phobia include selective reuptake inhibitors (SSRIs), antidepressants, anti-anxiety medicines, and beta blockers. It’s important to choose a method of treatment that is best suited towards your individual needs.

If you or someone you know is struggling with Social Anxiety Disorder, Arista Counseling and Psychotherapy can help. 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. 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/publications/social-anxiety-disorder-more-than-just-shyness/index.shtml

https://www.verywellmind.com/difference-between-shyness-and-social-anxiety-disorder-3024431

 

Dementia: What are the different dementia diagnoses?

Dementia: What are the different dementia diagnoses?

By: Keely Fell

Dementia is among one of the most prevalent conditions in individuals over 60. In 2019, a record 50 million individuals, worldwide, were living with a diagnosis of some form of dementia. Dementia is defined as a syndrome where there is major deterioration in memory, behavior, and thinking, which limits an individual’s ability to perform everyday tasks.

When diagnosing dementia, doctors will look at six areas of cognitive functioning. Those areas are:

  • Complex attention: Which is the area that refers to sustained focus and switching between tasks.
  • Learning and memory: This is the area that recalls recent and remote memory, as well as performing tasks.
  • Executive Function: This refers to skills such as prioritizing, paying attention, and planning.
  • Language: This refers to expression in written and spoken forms.
  • Perceptual-Motor Function: This understands shapes, directions, and locations.
  • And lastly, Social Cognition: Which refers to the ability to interact with others by recognizing facial expressions and body language.

Dementia is used as an umbrella term for many different sub-dementia disorders. The most common in the United States is, Alzheimer’s disease. Alzheimer’s disease is when the neurons in the brain are slowly decaying overtime causing cognitive deficits in memory, and over time total mental ability. After Alzheimer’s the next most common dementia diagnosis is Vascular Dementia. Vascular dementia develops when the brain is deprived of essential nutrients and oxygen. Over time an individual with Vascular Dementia may experience mental slowness, aphasia, and trouble with basic functions such as, walking or urinating. This is different from Alzheimer’s because with Vascular Dementia, an individual is experience problems in memory retrieval. Dementia with Lewy Bodies is a type of dementia that has a combination of features of both Parkinson’s disease, and Alzheimer’s disease. Generally, an individual diagnosed with Dementia with Lewy Bodies may experience muscle symptoms that are accompanied by cognitive deficits as well. Less common than most other dementias is Frontotemporal Lobar Dementia. This dementia appears with behavior and language changes.  Frontotemporal Lobar Dementia is caused by progressive nerve cell loss in the brain’s frontal and temporal lobes.

A dementia diagnosis can be hard, and understanding how it affects the brain can help with coping with a diagnosis.

If you or someone you know is experiencing these symptoms, 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.alz.org/alzheimers-dementia/what-is-dementia/types-of-dementia/frontotemporal-dementia                                                                                    https://www.asccare.com/5-interesting-facts-dementia/                                              https://www.who.int/news-room/fact-sheets/detail/dementia https://www.brightfocus.org/alzheimers/article/whatdementia?gclid=Cj0KCQiAkePyBRCEARIsAMy5Scsycdvh3p-rWx10ZmnEFZCbjdCY8f6JnSc4vJKHO9EO7qiuqshYqHMaAugEEALw_wcB

Image Source:

https://www.dfwsheridan.org/types-dementia

Shopping Addiction

By: Deanna Damaso

Shopping Addiction is a behavioral addiction where a person buys items compulsively or a specific item repeatedly as an attempt to relieve stress. Those suffering with a shopping addiction spend more time shopping than doing other activities because of their uncontrollable urges to spend money.

The joy of shopping has a direct effect on the brain’s pleasure centers by flooding the brain with endorphins and dopamine. The buyer gets a short-lived “shopping high” from making frequent shopping trips, buying large items, or expensive purchases. However, after a couple hours, the dopamine recedes and the shopper is left with an empty, unsatisfied feeling. This can lead to hoarding, depression, anxiety, and low self-esteem. If left untreated, compulsive buyers could go deeper into debt and turn to stealing.

Some signs of a shopping addiction often include:

  • Spending more money than anticipated
  • Compulsive purchases
  • Chronic spending when angry, anxious, or depressed
  • Lying about the problem
  • Broken relationships
  • Ignoring the consequences of spending money

Financial therapy is effective in teaching how to manage finances and shop more responsibly. Cognitive and behavioral therapies are effective treatments that identify and improve the negative thoughts and behaviors surrounding the addiction. Medications can be prescribed to those who struggle with both the addiction and other mental health issues. This combination treatment helps relieve symptoms to assist in recovery.

If you or someone you know is struggling with a shopping addiction, Arista Counseling & Psychotherapy can assist you. Contact us in Paramus, NJ at 201-368-3700 or in Manhattan, NY at 212-996-3939 to arrange an appointment. For more information about our services, please visit http://www.counselingpsychotherapynjny.com/

 

Sources:

https://www.healthline.com/health/addiction/shopping

https://www.psychologytoday.com/us/articles/200603/doped-shopping

Anxiety: Generalized Anxiety Disorder

By: Gabriella Phillip

Anxiety is normal as we all worry from time to time about meeting deadlines for work or school, or being on time for a scheduled appointment. However, people with generalized anxiety disorder, or GAD, experience a chronic state of severe worry and tension, often without provocation. People with GAD aren’t usually able to shift their focus from their concerns, even though they are aware that much of their anxiety is unwarranted. These worries can include overthinking plans and solutions, inability to set aside or let go of a worry, or severe difficulty with handling uncertainty. People diagnosed with generalized anxiety disorder undergo persistent, excessive worry that occurs on more days than not for at least six months and show at least 3 symptoms of the disorder.

For patients with GAD, worrying is often accompanied by physical symptoms including headaches, irritability, muscle tension, difficulty sleeping or concentrating, sweating, hot flashes, and restlessness. Generalized anxiety disorder affects around 6.8 million American adults; women are twice as likely as men to be afflicted. Onset age of this disorder can occur at any point in one’s life, but usually begins between childhood and middle age. Generalized anxiety disorder can affect all areas of life including social life, school, work, and family. According to a national survey conducted by the Anxiety Disorders Association, 7 out of 10 people diagnosed with GAD noted that their persistent anxiety has a clear impact on their romantic relationships and two-thirds reported that that this disorder has had a negative effect on their friendships. Generalized anxiety disorders are the most common cause of workplace disability.

Treatment for GAD commonly includes medication, cognitive behavior therapy (CBT), talk therapy (psychotherapy), exposure therapy, and anxiety management; some of these treatments are used simultaneously. There is no single optimal treatment since what works for one patient might not be as effective for another patient. A combination of modalities is usually most effective.

If you or someone you know is struggling with Generalized Anxiety Disorder, Arista Counseling and Psychotherapy can help as we are able to provide a combination of treatments which have proven to be effective. 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. 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://adaa.org/sites/default/files/July%2015%20GAD_adaa.pdf

https://www.psychologytoday.com/us/conditions/generalized-anxiety-disorder

 

Therapy: What is Music Therapy?

Therapy: What is Music Therapy?

By: Keely Fell

Music therapy is a relatively new form of therapy being used across the nation. According to the American Music Therapy Association, music therapy is described as “the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program”. (AMTA) To be considered a qualified music therapist, an individual must attend a school that is currently accredited by the American Music Therapy Association (AMTA). Upon completion of a degree, an individual will then take the National Examination Certification Board for Music Therapists, which will then give them the title of Music Therapist – Board Certified (MT-BC). While there are other certifications that an individual can acquire, most states will only recognize individuals with the MT-BC certification.

Music therapy can be used for a wide array of interventions, some of those being: stress management, pain relief, promoting the expression of feelings, physical rehabilitation, memory enhancement, and enhancing cognitive functioning due to early delays. The integration of music therapy into schools, rehabilitation centers, assisted living centers, hospitals, and hospice care is growing rapidly throughout the nation.

The integration of music therapy in hospitals has been growing rapidly as well. Using music to sooth patients before medical procedures, as well as using singing, instrument playing, lyric discussion, and forms of song writing to “allow the patients to reconnect with the healthy parts of themselves”. What was recorded is that with the use of music therapy, patients were able to achieve acute pain relief which then allowed them to rest.

Studies have shown that the brain reacts to music in a very different way than it reacts to anything else. When music enters the brain the first mechanisms that are triggered are the release of dopamine in the pleasure centers. Moving past just making an individual feel good, research has shown that music is associated with an increase in immunity-boosting antibodies, which means that music is also improving an individual’s immune system. Doctors have recently studied the use of vibroacoustic therapy in the treatment of Parkinson’s disease, by using “low-frequency sound” to produce “vibrations that are applied directly through the body. The rhythmic pulses allow for stabilization of the disorientation.

If you or someone you know is experiencing these symptoms, 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.ashford.edu/online-degrees/student-lifestyle/how-does-music-affect-your-brain

https://www.apa.org/monitor/2013/11/music

https://www.musictherapy.org/

https://www.billboard.com/articles/news/6873880/music-brain-effect-scientists-mit-study

PTSD in Refugee and Unaccompanied Children:

By: Luz Melendez

Post-traumatic stress disorder (PTSD) is a disorder that can occur to someone after being exposed to one or more traumatic events. These traumatic events can vary from a natural disaster, war/combat, serious injury, sexual violence, and/or exposure to death threats. After experiencing a trauma there can be an emotional reaction to these events which can include fear, helplessness, and even horror. There may also be distressing memories of the traumatic event which can be recurrent and involuntary. In order to be diagnosed with PTSD, symptoms have to last for more than a month and be persistent. (American Psychiatric Association, 2013).

One population that is less talked about when it comes to PTSD is children, but more specifically refugee or asylum seeking children. The current population of children with PTSD in the U.S. is about 5% and among refugee children in the U.S. it’s about 54%. These children are experiencing hunger, extreme poverty, bombings, abductions, sexual assault, and even witnessing deaths. These stressors can often co-occur making everyday life very difficult for them. The effects of these events are causing developmental regression, clinginess, repetitive play of the trauma/s, anxiety, depression, ACES, and mood changes. One effect that is very important is how the brain is being affected by these traumas. PTSD is developed in two key regions of the brain, the amygdala and the prefrontal cortex. The amygdala reacts too strongly while the prefrontal cortex impedes the ability to regulate a threat response. It’s the perfect storm that leads to hyperarousal, hyper vigilance, and sleep deprivation which are big issues when it comes to children. Children’s brains are growing and developing and these traumas are stunting the global developmental growth of these children’s brains.

Often PTSD in refugee or asylum seeking children, if left untreated/undiagnosed, can and will lead to life long-lasting effects. In the situation these children are in, it’s difficult to not only diagnose them but to properly treat them. Many if not all have witnessed one or more of the stressors mentioned above and these children are out in the world not only having their lives completely change but having their mental health deteriorate. Thankfully some host countries who take in refugees, screen them and try to help them adjust to their now new lives and overcome barriers that come with accessing physical and mental health care. This also includes overcoming the stigma that refugees have of seeking mental health care. Like mentioned before only some host countries do this, others are still fixing their processing of refugees.

 

If you or someone you know is struggling with PTSD, Arista Counseling and Psychotherapy can help. 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:

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed). Arlington, VA: American Psychiatric Association.

Addiction: Must be Love on the Brain.

Addiction: Must be Love on the Brain.

By: Keely Fell

Heartbreak notably causes a great deal of emotional pain, but have you ever wondered what it does to the chemistry in your brain? Experiencing heartbreak can cause pains in the chest, gut and even in our throat. Such sensations can leave one feeling broken. The brain has quite a way of reacting to the experience of a broken heart, and understanding the feelings caused by brain reactions is essential to overcoming heartbreak.

One of the most interesting brain reactions to heartbreak is the experience of withdrawal symptoms in the absence of love. Often times when experienced, the brain mechanisms that are activated are the same as if someone is withdrawing from drugs like nicotine, cocaine, etc. So you could make the connection that love is addicting, thus creating a chemical reaction when you fall in love that is similar to a “high”.

Functional Magnetic Resonance imaging (fMRI) studies have been performed showing how these mechanisms are being activated in the brain. A study conducted by Art Aron, Lucy Brown, and Helen Fisher found that the area of the brain associated with the rewards system, known as the caudate nucleus, lights up on scans when in love. This shows that love might be more than just an emotion and more of  a response searching for the reward of affection. People who use drugs such as nicotine and cocaine see similar brain activity across fMRI scans. In both cases, the brain is experiencing a spike in the release of dopamine through the caudate nucleus. It was also observed that when an fMRI scan was performed on people experiencing the first stages of a break up, the caudate nucleus was still in “motivation mode”, meaning that the individual was still searching for that “fix” of love.

Understanding that these feelings and symptoms are deeper rooted than just simply feeling sad over a broken heart, can help us through the healing process. Over time the brains need to fulfill the “fix” will subside and will move onto the next big thing.

If you or someone you know is experiencing these symptoms, 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://greatergood.berkeley.edu/article/item/this_is_your_brain_on_heartbreak  https://www.psychologytoday.com/us/blog/the-squeaky-wheel/201801/3-surprising-ways-heartbreak-impacts-your-brain

Image Source:                                                                                    https://www.123rf.com/photo_52211182_stock-vector-cartoon-heart-and-mind-characters.html

Depression: Difference between Unipolar and Bipolar Depression

By Gabriella Phillip

Eliciting a history of brief periods of improved mood is the key to differentiating between unipolar and bipolar depression. Bipolar spectrum disorders typically begin earlier in life than unipolar depression; the usual sign of bipolar disorder in young children could be depression and/or a combination of depression and states of mania/hypomania. It’s significant to ask the patient how old they were when they first experienced a depressive episode. Men have a higher rate of bipolar disorder than women, but the rates for unipolar depression in men and women are more equal.

Some patients with bipolar spectrum disorder can go from normal to severely depressed technically overnight whereas unipolar depressive episodes tend to occur more gradually. Patients with bipolar spectrum depression tend to experience weight gain and crave carbs, while those with unipolar depression usually experience weight loss or loss of appetite. Patients suffering from bipolar depression tend to show irregular responses to antidepressant monotherapy, including switching into mania. Bipolar spectrum disorder is an inheritable mental illness, so it’s vital to take family history into consideration. While patients diagnosed with unipolar depression usually note that their symptoms fluctuate in a more stable, regular pattern, those with bipolar depression have moods that can vary unpredictably, usually with no cause.

When treating bipolar depression, antidepressants are used in combination with some sort of mood stabilizer. Treatment for unipolar depression can include medication like SSRIs and antidepressants, often in combination with cognitive behavioral therapy (CBT) and psychotherapy. Screening instruments including the Bipolar Spectrum Diagnostic Scale and the Mood Disorders Questionnaire can be effective and helpful tools in differentiating unipolar from bipolar depression.

If you or someone you know is struggling with Bipolar Disorder or Unipolar Depression, Arista Counseling and Psychotherapy can help. 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.psychiatrictimes.com/special-reports/major-depressive-episode-it-bipolar-i-or-unipolar-depression

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2850601/

https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/unipolar-and-bipolar-depression-different-or-the-same/AE364DFBFFBAF1F66A9294A55120C64E/core-reader

 

 

Depression: Have a Case of the Winter Blues? Understanding Seasonal Affective Disorder

 

By: Keely Fell

Can’t seem to shake the winter blues? Nearly five percent of adults are experiencing symptoms that align with major depressive disorder with recurring seasonal pattern, which is more commonly known as Seasonal Affective Disorder. According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V), an individual who is experiencing “two major depressive episodes in the last two years” that show relations to the time of year, and experience full remissions at other times they may be experiencing Seasonal Affective Disorder (SAD).

It is also important to understand what is happening in the body and why an individual is experiencing such symptoms. When an individual is experiencing these symptoms, often it can be as a result of the lack of natural light due to the shorter periods of daylight during the winter season. With the lack of light, the human brain slows down the production of serotonin, and increases the production of melatonin which leaves individuals feeling drowsy. Melatonin production increase is caused by darkness, which is why we get sleepy when the sun goes down. The regulation of these chemicals is what helps create your body’s specific circadian rhythm. When this system is affected it can cause a feeling of lethargy and or restlessness.

Here are some tips and tricks to shaking those winter blues:

  1. Take a few minutes during your day to get outside Whether that’s during your lunch break or walking to pick up the mail, going outside during daylight will increase the serotonin production in your brain.
  2. Light Therapy During the dark winter months, if these symptoms are taking over you can try light therapy. Light therapy allows for the brain to think it’s being exposed to sunlight. People who use light therapy typically invest in a light box (if interested Harvard Health has many they recommend) which delivers around 10,000 lux, compared to a standard sunny day that ranges 50,000 lux or above. They recommend that, you sit in front of the light box for no more than 30 minutes a day. This allows for the brain to regulate its circadian rhythms by allowing the retinas to be stimulated. Light therapy does not work for everyone.
  3. Talk Therapy If these symptoms persist and are affecting your day talk therapy is also affective. Reaching out to a psychologist, psychiatrist, psychiatric nurse practitioner, or psychotherapist to come up with symptom relief is another big way to combat these symptoms. Symptom relief may include the use of antidepressants, or various therapeutic methods.

 

If you or someone you know has Seasonal Affective Disorder or seems to have the symptoms of SAD, and needs help, 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/seasonal-affective-disorder/index.shtml

https://www.health.harvard.edu/blog/seasonal-affective-disorder-bring-on-the-light-201212215663

https://www.psychiatry.org/patients-families/depression/seasonal-affective-disorder

 

Body Dysmorphic Disorder

By Gabriella Phillip

Body Dysmorphic disorder, or BDD, is a psychiatric disorder in which a person is preoccupied with an imagined or minor physical defect that other people usually don’t notice. BDD has various features that are similar to that of obsessive-compulsive disorders and eating disorders. Patients diagnosed with obsessive-compulsive disorder, or OCD, have distressing thoughts and images that they aren’t able to control. Emotional distress that can result from this can cause a person to perform particular rituals or compulsions. Regarding BDD, the person’s persistent preoccupation with his/her perceived physical defect can lead to ritualistic behaviors including constantly looking in the mirror or skin picking. Similarly to eating disorders, like anorexia nervosa and bulimia nervosa, Body Dysmorphic Disorder involves a concern with body image. However, while eating disorder patients are concerned with body weight, those diagnosed with BDD are worried about a specific area or part of the body.

Body Dysmorphia affects approximately 2% of the general population; however, BDD usually goes undiagnosed so the number of people who actually have the disorder could potentially be much greater. Those with body dysmorphia oftentimes feel a significant amount of shame regarding their perceived flaws which may hinder them from seeking treatment. BDD prevalence differs by gender, as women are reported to have higher rates of this disorder than men. Factors such as living with a pre-existing mental condition like depression or anxiety or experiencing bullying or abuse during childhood or adolescence can increase the risk of Body Dysmorphic Disorder. The typical onset for BDD is between the ages twelve and seventeen, around the time when adolescents go through puberty and certain bodily changes.

Social media platforms like Instagram oftentimes feed us an interminable supply of filtered and unrealistic depictions of different people and their lives. It’s easy to compare yourself to well edited pictures of models, celebrities, and even friends online, making you feel as though you don’t measure up as you are. Also, various forms of bullying like body shaming or slut shaming can occur online and can easily result in distorted body image and low self-esteem. Those with BDD sometimes choose to socially isolate themselves due to high level of shame related to their bodily appearance. While social media doesn’t necessarily cause body dysmorphia, it can serve as a trigger for those already predisposed to the disorder, or could possibly worsen existing symptoms. The main treatments used for BDD are cognitive behavioral therapy (CBT) and antidepressant medication, specifically serotonin reuptake inhibitors (SSRIs). Many patients use therapy and medication simultaneously. These treatments are meant to help reduce obsessive compulsive behaviors, improve stress level management involved in these behaviors, and aid patients in viewing themselves in a more loving and less judgmental light.

If you or someone you know is struggling with Body Dysmorphic Disorder, Arista Counseling and Psychotherapy can help. 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/ .