Immigration: Navigating the Mental Landscape

Immigration: Navigating the Mental Landscape

by: Angy Farhat

Immigrants frequently face a range of challenges that can greatly affect their mental well-being. The term “immigrant mental health” encompasses the combination of cultural, social, economic, and environmental factors that influence this group. The journey of adaptation can be daunting, filled with the complexities of navigating cultural differences, language barriers, and experiences of racial discrimination. We find ourselves caught between two worlds, torn between preserving our heritage and assimilating into a new culture. This internal conflict can generate a sense of isolation and a loss of identity, leading to anxiety and depression.

Additionally, immigration brings with it a myriad of stressors. Financial burdens, familial expectations, and the pressure to succeed weigh heavily on our shoulders. The responsibility to provide for our families adds an extra layer of stress. Coupled with the fear of being seen as a burden or facing rejection, this can result in chronic stress and emotional exhaustion. The lack of social support networks and limited access to healthcare resources exacerbates the challenges.

As immigrants, it is essential to implement strategies that promote our mental health resilience and help us integrate better into a new culture:

  1. Build a Support System: Connect with other immigrants in your community, join cultural groups, and seek out friends who can understand your experiences. 
  2. Seek Professional Help: Access culturally sensitive therapy services where therapists are familiar with the challenges faced by immigrants. 
  3. Learn the Language: Actively learning the local language can improve communication and reduce feelings of isolation.
  4. Social Interaction: Make an effort to befriend local people and explore your new environment to familiarize yourself with this space you will soon consider yours. Learn as much as you can about your host culture.

While following these steps, it is also crucial to remember to be patient, embrace the challenges, and seek support.  

If you or someone you know is struggling with anxiety or depression, call now to make an appointment to speak with one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists. Contact us at our Paramus, NJ (201) 368-3700 or Manhattan, NY offices at (212) 722-1920 to schedule an appointment. For more information, visit https://aristapsychiatrypsychotherapy.com/

References:

Pink Cocaine: What to Know

Pink Cocaine: What to Know

By Madison Gesualdo

There have been a lot of unfortunate headlines in the news recently, with two of the most prominent being the P. Diddy case and the recent death of One Direction star Liam Payne. Both of these unfortunate developments have a common denominator: they involve the presence of a designer drug commonly referred to as “pink cocaine.”

Pink cocaine, better known to certain users by its street name of tusi, very rarely contains actual cocaine. It is a synthetic substance that can contain a wide variety of drugs including methamphetamine, methylenedioxymethamphetamine (MDMA), opioids, and occasionally cocaine. The one drug that typically is consistently included in pink cocaine is ketamine. The mixture is usually dyed pink using dye or food coloring, yielding its pink color and name. All of the drugs in the mixture are, essentially, crushed up to form a concoction that users can snort. The ratios of the different drugs in pink cocaine can be adjusted on a user-by-user basis so that the drug is ultimately tailored to fit the desires of each individual user. Therefore, there is no universal formula for the making of pink cocaine.

With the many different formulas of pink cocaine come the many variations in the effects it can have on users. Depending on how much of a certain drug is present in pink cocaine, users of this drug can experience the following potential symptoms:

  • Confusion
  • Hallucinations/delusions
  • Nausea
  • Agitation
  • High blood pressure
  • Shallow breathing
  • Changes in breathing pattern
  • Low body temperature
  • Seizures
  • Changes in sleep patterns
  • Changes in personality
  • Issues with memory/attention
  • Depression and anxiety

Although this is a fairly new designer drug, it is still contains several highly addictive and dangerous substances. If you or a loved one is suffering from substance use or abuse, it is important to get necessary help to prevent future use of drugs like this and the lasting effects that drug use can have.

If you or someone you know is struggling with substance abuse, addiction, or other mental health issues, 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 & Psychiatric Services. 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/

Glasner, S. (2024, October 30). Pink cocaine is hitting headlines and clubs. Psychology Today. https://www.psychologytoday.com/us/blog/navigating-addiction-recovery/202410/pink-cocaine-is-hitting-headlines-and-clubs

Juarez, L. (2024, October 22). What is ‘pink cocaine’? Designer drug linked to Liam Payne and named in Diddy lawsuit. ABC7News. https://abc7news.com/post/what-is-pink-cocaine-designer-drug-linked-liam-payne-sean-diddy-combs/15451752/ Wiginton, K. & Begum, J. (2024, May 22). What is pink cocaine? WebMD. https://www.webmd.com/mental-health/addiction/what-is-pink-cocaine

Why Do People Join Cults?

By: Tehila Strulowitz

                On March 26th, 1997, police entered a mansion in the exclusive Rancho Santa Fe, a suburb of San Diego, California, where they found 39 bodies in matching dark clothes and Nike sneakers, all having died from mass suicide. These people were members of a religious cult called “Heaven’s Gate,” where the leaders taught that suicide would release them from their physical “bodily containers” and arrive on an alien spacecraft that was concealed behind the rare Hale-Bopp comet. The cult was led by Bonnie Lu “Ti” Nettles, who was the nurse of a man named Marshall “Do” Applewhite after he survived a nearly fatal experience. Together, Nettles and Applewhite convinced 20 people from Oregon to join their cult in 1975, coaxing them to leave their lives (family, money, possessions), and move to Colorado. In 1985 Nettles died, and the spacecraft still hadn’t appeared to take the cult followers to the “kingdom of heaven.” However, at the beginning of the 1990s, Applewhite restarted the cult, engaging new followers. After the comet Hale-Bopp was discovered in 1995, the members of Heaven’s Gate were confident that an extraterrestrial spacecraft was on its way, hidden from sight behind the comet. In October 1996, Applewhite began renting a mansion for the cult (telling the owner that they were all angels with Christian faith – Marshall Applewhite preached sexual abstinence, with some of the male members of the group copying him and having castration operations). In March of 1997, Hale-Bopp was the closest to Earth it could ever be, and so Applewhite and 38 cult members drank a mix of vodka and phenobarbital and laid down on beds to die, waiting for their bodies to leave Earth and enter the extraterrestrial spacecraft so they could go through Heaven’s Gate and experience a new, elevated existence.

                History is marked with a considerable amount of cults, with several receiving a celebrity level of notoriety and fame, like the Manson Family of hippie youth turned barbaric killers, Good News International Ministries who successfully convinced their followers that they must starve to death to meet Jesus, the Branch Davidians that had the infamous 51-day siege, NXIVM which convinced women to join their exclusive and abusive group hidden within a self-help organization, and sadly, many more. Steven A. Hassan PhD, a psychologist specializing in cults following his own cult experience, explains that the main motivations of cult leaders, which results in them successfully (or hopefully unsuccessfully) recruiting followers, are factors such as “due and undue influence,” narcissistic personalities that thrive on submissiveness, and “systematic social influence processes.” Hassan vitally points out that there are some cults that are okay, but this article focuses more on the dangerous, extreme cults. The main areas of potential followers that cult leaders exploit are the person’s weakness and susceptibility (Hassan), the theory of cognitive dissonance, and obedience (Discovery Magazine). The common thread is social influence, whether it be from the cult leaders themselves or claims of what society does and/or thinks.

                It is important to differentiate between cults and religions. While some cults are based on religions or consider themselves religions, they are vastly removed from the functions, definitions, and purposes of religion and what is required to be a part of one. Religions tend to be larger in size and more positively received and accepted, while cults tend to be smaller and shunned by society. Additionally, usually religions are based on faith in the existence of a god and have moral rules to prompt their followers to live a good life, while cults tend to be more focused on extreme loyalty towards the egocentric cult leader. Cult leaders will use devices such as manipulation, deception, and obedience to make their prospective followers and their pledged fundamentalists remain in their loop.

                Reactions and susceptibility to cults involve feelings of anxiety, identity confusion, depression, paranoia, and so on. Disorders related to cults include acute stress disorder, depression, generalized anxiety disorder, panic disorder, paranoia, post-traumatic stress disorder, and substance use disorder.

If you or someone you know is struggling with their 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 https://aristapsychiatrypsychotherapy.com/

Depression: What is dysthymia?

Depression: What is dysthymia?

By: Josette DeFranco

Dysthymia is mild but has more long-lasting symptoms than major depression. Dysthymia is also known as persistent depression disorder because it is continuous and long-term. There is no exact cause of dysthymia but biological differences, brain chemistry, life events, and inherited traits can play a role. It has been demonstrated that those with depression don’t have any family history of this disorder and those with a family history of depression don’t struggle with this disorder.

Some noticeable symptoms of dysthymia:

  • Loss of enjoyment of regular activities
  • Sadness or depressed mood
  • Lack of motivation
  • Tiredness
  • Sleep problems
  • Problems with decision-making or concentration
  • Restlessness and impatient
  • Low self-esteem
  • Overeating or eating very little
  • Suicidal thoughts
  • Substance misuse
  • Relationship difficulties
  • School or work hardships

Some ways to help prevent dysthymia:

  • Reach out to friends and family
  • Seek medical professional help
  • Work on reducing stress
  • Be patient
  • Be kind to yourself
  • Practice self-care
  • Don’t self-medicate

If you or someone you know is struggling with their 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 at (201) 368-3700 or (212) 722-1920 to schedule an appointment. For more information, please visit https://aristapsychiatrypsychotherapy.com/

Resources:

https://www.webmd.com/depression/chronic-depression-dysthymia

https://www.mayoclinic.org/diseases-conditions/persistent-depressive-disorder/symptoms-causes/syc-20350929

The Importance of Mental Health: School Systems

By: Nicole Cutaia

The Importance of Mental Health: School Systems

The lives of children and teenagers may appear stress-free, but unfortunately, this is not the case for all children and teenagers. Anxiety and depression among young adults is more common than society believes it to be. Children and teenagers do have their own stress factors in their lives such as school work, their appearances, relationships or friendships, and or extra curricular activities.

Some children and teenagers may come from a household where mental health is overlooked and not openly discussed. That is why it is extremely important that school systems and districts prioritize mental health and related services. Making sure every student within a school is heard and feels as though they belong is extremely vital in creating a safe space.

Other than school counselors, school systems and districts can participate in providing students with school-wide presentations that review mental health. These presentations should incorporate guest speakers as well.

Mental health should be mandatory in health classes. The depth of the curriculum and structure of the material will be dependent on the age and academic level of the students. Children and teenagers should be exposed to information that is appropriate for their age.

Various children and teenagers view their school as a safe place. It is crucial that we make it known to students that their feelings and emotions are normal and valid.

 If you or someone you know is experiencing mental health difficulties, 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/

Depression: Postpartum Depression

Depression: Postpartum Depression

By: Josette DeFranco

Postpartum depression is a vulnerable time for a woman’s health. Many women are experiencing mood changes and are expected to have an amazing transition into motherhood. However, many women struggle with mental health issues after giving birth. It’s important to spread awareness and show support to the women who are struggling with postpartum depression.

Postpartum depression symptoms start to occur four to six weeks after giving birth and can gradually decrease as time goes on. Nonetheless, depression can reoccur within three years after pregnancy or giving birth. Some common symptoms of postpartum depression can be intrusive, unwanted thoughts and postpartum rage.

Here are some ways to help someone you know or who is struggling with postpartum depression:

  • Seek help from a licensed mental health professional
  • Look for a community to help you in both emotional and practical ways
  • Practice mindfulness and relaxation therapy
  • Use positive affirmations and be more kind to yourself
  • Practice skin-to-skin care which can help with reducing the stress hormone cortisol
  • Avoid alcohol or recreational drug use
  • Eat healthy
  • Prioritize rest for yourself
  • Gaining more knowledge about postpartum depression

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

Resources:

https://www.psychologytoday.com/us/blog/parenting-translator/202306/how-to-improve-postpartum-mental-health

Postoperative Cognitive Dysfunction

Postoperative Cognitive Dysfunction

By Madison Gesualdo

Postoperative cognitive dysfunction (POCD) refers to a decline in neurocognitive function from a patient’s baseline functioning that occurs in individuals who undergo surgical processes and are put under anesthesia. Postoperative cognitive dysfunction complicates a patient’s central nervous system, delaying their neurocognitive recovery process as a whole. Individuals who endure POCD typically experience issues with their attention span, memory, learning, perception, executive functioning, and motor skills. POCD is not to be confused with postoperative delirium; while postoperative delirium is an acute state of neurocognitive functioning lasting approximately 1-3 days post-surgery, POCD typically persists longer, lasting weeks, months, or in some cases, years.

While POCD is not yet a formal psychiatric diagnosis, it is characterized by the DSM-5 as a mild neurological disorder, falling under the cognitive impairment classification. POCD occurs in roughly 10-54% of patients within the first few weeks of surgery.

A variety of risk factors for POCD have been identified, including advanced age, severity of the surgery being performed, type and amount of anesthesia being used, electrolyte imbalance, and pre-existing conditions (such as dementia and diabetes). These factors are examples of factors that would put a patient at higher risk for suffering from POCD after his or her surgery.

Although no specific treatment exists for postoperative cognitive dysfunction, different treatment methods have proven to reduce the effects of the condition. These methods include, but are not limited to:

  • Anti-inflammatory drugs
  • Biologically active substances
  • Surgical techniques and anesthesia best suited to fit the specific patient being operated on
  • Improving a person’s cognitive functioning prior to surgery

If you or someone you know is struggling with mental health issues, 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 & Psychiatric Services. 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/

References:

Brodier, E. A., & Cibelli, M. (2021). Postoperative cognitive dysfunction in clinical practice. BJA Education, 21(2), 75–82. https://doi.org/10.1016/j.bjae.2020.10.004

Spriano, P. (2024, September 9). What do we know about postoperative cognitive dysfunction? Medscape Medical News. https://www.medscape.com/viewarticle/what-do-we-know-about-postoperative-cognitive-dysfunction-2024a1000g9b?ecd=WNL_trdalrt_pos1_240909_etid6816496&uac=445328CY&impID=6816496

Zhao, Q., Wan, H., Pan, H., & Xu, Y. (2024). Postoperative cognitive dysfunction-current research progress. Frontiers in Behavioral Neuroscience, 18, 1328790. https://doi.org/10.3389/fnbeh.2024.1328790

Mental Health Services: The Significance of Geography

By: Nicole Cutaia

Mental Health Services: The Significance of Geography

            While numerous mental health services are available today, the abundance and equality of services and resources depend on the location. Some individuals reside in rural landscapes where the nearest healthcare professional, psychiatrist, psychologist, or clinical social worker can be miles and miles away. This can become an issue for individuals who need mental health treatment and assessment in a physical setting. Although telehealth is an alternative option for face-to-face appointments, many may not gravitate toward the technology option.

            Depending on the diagnosis, receiving face-to-face treatment and therapy can be the most beneficial to managing the diagnosis. Unfortunately, due to the distance, some individuals would rather decide to not treat their mental illness and continue to live with it. If something is so far out of the way, it may feel like a chore or burden for individuals to attend to instead of viewing it as a resource to benefit their mental stability and mental balance.

            Also, the stigma and awareness about mental health depend on where someone lives. Based on the area, the education focused on mental health can be very limited or ample. Therefore, if an individual happens to reside in an area with little to no education toward mental health, the treatment and the services may not normalized and accepted. This unfortunately may then lead to individuals not receiving the assistance they need.

 If you or someone you know is having mental health difficulties and/ or experiencing symptoms of any form of inner conflicts, 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/

What Not To Say To Your Grieving Friend

By: Tehila Strulowitz

After hearing the tragic news of a death, there are three possible reactions the bereaving person could have to our response: feel even sadder, become angry, or feel reassured that things will be okay. We, as the reactor who is not directly experiencing their exact loss, want nothing more than to miraculously attain Merlin’s wand, and magically make their sadness, pain, confusion, and grief disappear. We just want to make it better. But for some reason, a completely inoffensive, caring response seems like it’s a fictional, fantastical possibility.

With a response that knocks us loving, caring people to our knees, Litsa Williams, licensed clinical social worker and creator of an online grief community called What’s Your Grief, says that none of our well-thought-out poignant phrases, earnest lamentations, or solemn sorrow at the beginning of the grieving process “can’t make it even a little bit better.” To prove her point, Williams brought some examples of common, pithy sayings that people say and the counterexamples of the griever’s possible thoughts in response:

Well-meaning person: “He/she is in a better place now.” Grieving person: I couldn’t care less! I want them here with me now!

  • What we learn: Closely following the death, a grieving person won’t find comfort in other people telling them that their loved one is “in a better place.” At that moment, they just want them back, and think there is no “better place” than being right here on Earth with them. It can also perpetuate confusing thoughts they are having about an afterworld, and it may induce guilt because they believed their whole lives that Heaven is a good place, but right now they don’t want that loved one to be in Heaven – they want them here.

Well-meaning person: “I know how you feel.” Grieving person: No losses are the same. Stop trying to compare your pain to my current pain. You can’t possibly feel exactly what I am feeling.

  • What we learn: Comparing grief doesn’t get anyone anywhere. Even if you might think that it’s rational that you lost your loving mother and so did your friend, your friend isn’t in the headspace to start having that conversation. They want to be comforted – not told that their grief is comparable to yours, or anyone else’s, for that matter.

Well-meaning person: “It will get easier.” Grieving person: It’s impossible for me to forget the person I love, and will never move on from this strong, intense grief! It would be wrong to do that to them and their memory!

  • What we learn: Williams points out, “Remember, this list is not about things that aren’t true.  It is about things that aren’t helpful to say.” Rationally, we know that most people learn to live with the grief, and the pain doesn’t feel as strong or new over time, but when that bereaved person is still processing the death and feeling the fresh, raw sting of the loss, they want nothing other than for someone to recognize, accept, and hold their hand through their current reality. Additionally, they may feel like it’s unjust or cruel to start healing and “moving on” from the one they are grieving. They probably won’t want to even imagine the possibility of letting go of that pain to some extent. Giving them the space to feel their grief at the moment is crucial so that they know that your intentions are to be there if they ever need a shoulder to cry on, a hand to squeeze, or some more tissues delivered, and not to be imposing or offering what you think to be wisdom but they think to be insulting, hurtful, or condescending.

Well-meaning person: “God has a plan,” “It was God’s will,” or “Everything happens for a reason.” Grieving person: Why would God plan or will something so painful to someone? Why would God make us suffer and feel pain like this? I don’t care if this is God’s plan or not – it sucks.

  • What we learn: Many do find it comforting to think that there is a greater plan that God has for them. However, the grief and intense pain they feel now might cause them to doubt, or even hate, God, religion, or even their faith and beliefs as a whole. These troubling thoughts can even occur in the minds of very religious people. Williams says that it can even cause faith-based doubts in the minds of those who do not consider themselves religious. To sum up, Williams says, “Better safe than sorry – steer clear.”

Essentially, grieving people are uninterested in comparing or doubting anything. They just want to be listened to. Williams suggests doing things to remove stress and help them feel at ease during the process, whether that be sending over meals, arranging for childcare, or helping financially by collecting funds for the funeral costs, just to name a few. Frequently, those grieving don’t remember what you said, so don’t worry about possibly hurting a grieving friend or loved one in the past. Just focus on listening, being sympathetic, and loving.

While experiencing feelings of grief, some may have difficulties such as trouble sleeping, concentrating, eating, anger, extreme sadness, difficulty socializing, drinking alcohol, smoking, or using drugs, just to name a few. Some disorders related to grief or losing a loved one include acute stress disorder, depression, generalized anxiety disorder, panic disorder, post-traumatic stress disorder, prolonged grief disorder, and substance use disorder.

Trauma From an Assassination Attempt and the Effects of Social Media

By: Tehila Strulowitz

On July 13th of this year, a shot was witnessed around the world when a skinny, pale 20-year-old with an AR-15-style rifle climbed onto a roof facing former President Donald Trump’s rally and fired. After the crowd got up from the ground when police said it was safe, but before paramedics could arrive, millions of people already had photos and videos of the incident on their devices and were chasing the story for updates.

Research outlines how witnessing these events through such graphic and detailed media not only makes us afraid and panicked, but also leads us to doubt our society. We start to think that if we scoured the dark web enough, we’d be able to prevent shootings, or that our children’s classmates who are on the fringes of the social scene might just shoot them one day. We may even convince ourselves that we need a gun for our personal safety and survival.

Universally, we consider leaders to be among the most protected and secure people in our country. When we witness political violence firsthand or through videos and photos, we automatically begin to fear for our own safety and security. As psychologist Dr. Zachary Ginder points out, witnessing a violent attack on a government authority—whether in real-time or via video—leads us to question and doubt our “sense of social order, control, trust, safety, and security.”

One thing that the boom of social media has demonstrated, validated by numerous studies, is that we easily obtain extensive video and photo coverage of violent attacks, whether they involve shootings, terrorist attacks, assassination attempts, or others. The ability to see every single moment from every angle of a violent incident, due to continuous media coverage and the ease of sharing on social media, serves to sustain our trauma and panic, according to Roxanne Cohen Silver, a professor of psychological science, medicine, and public health at the University of California, Irvine.

Experts suggest several ways to relieve anxious feelings: avoid listening to and perpetuating conspiracy theories by ensuring that you’re getting your news from reliable sources; take time to establish and maintain regular habits that support your self-care; channel your energy into advocacy and “positive action,” which can help many feel more in control; focus on kindness and positivity; and seek help when needed to process trauma in a healthy way rather than remaining in a traumatic mindset.

If one’s reaction to trauma is intense, they may experience difficulties such as trouble sleeping, concentrating, irritability, anger, lashing out, or paranoia. Disorders related to traumatic reactions—whether the experience was direct or indirect—include acute stress disorder, depression, generalized anxiety disorder, panic disorder, post-traumatic stress disorder, and substance use disorder.