Back to School Anxiety

A new school year is fast approaching. And with it comes lots of excitement, but it can also cause anxiety for children.

Starting a new school or being away from parents can cause much anxiety in children. That anxiety fades for most children as the year progresses. But for others, it doesn’t. Here are some examples of behaviors that may indicate your child is continuing to struggle with anxiety:

  • Continually seeking reassurance or asking repeated, worried questions despite receiving an answer
  • Tantrums when separating from parents or caregivers before going to school
  • Increased complaints of experiencing headaches, stomachaches, and fatigue in the absence of an illness
  • A significant change in their sleep pattern, such as taking an hour to fall asleep, or waking you up with worries during the night when they might typically sleep well
  • Difficulty getting along with family members or friends
  • Avoidance of normal activities in and outside of school

Here are some tips to help ease back-to-school anxiety:

  • Approach anxiety instead of avoiding it
  • Practice school routines
  • Model behavior you’d like to see
  • Ensure they are getting enough sleep
  • Check in with stress levels
  • Talk to school mental health professionals
  • Blend back to school with fun activities so the transition is less sudden

If you or your child needs the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Social Anxiety

When a person has social anxiety disorder, or social phobia, everyday interactions can cause significant anxiety, self-consciousness, and embarrassment because they fear being scrutinized or negatively judged by others around them. Fear and anxiety may lead to avoidance that can disrupt their lives. Additionally, severe stress can affect daily routines and common everyday social experiences, including: 

  • Attending parties or social gatherings 
  • Interacting with unfamiliar people or strangers 
  • Starting conversations 
  • Making eye contact 
  • Going to school or work 
  • Dating 
  • Eating in front of others 
  • Using a public restroom 

For those living with social anxiety disorder, comfort levels in social situations vary and depend on personality traits and life experiences. Some people are naturally reserved, and others are more outgoing.  

Having feelings of shyness or discomfort in certain situations isn’t necessarily a sign of social anxiety disorder, particularly in children. Social anxiety disorder typically begins in the early to mid-teens, though it can sometimes begin in younger children or in adults.  

The signs and symptoms of social anxiety disorder can include constant: 

  • Intense fear or anxiety during social situations  
  • Intense fear of interacting or talking with strangers 
  • Worry about embarrassing or humiliating yourself 
  • Fear of situations in which you may be judged negatively 
  • Avoidance of doing things or speaking to people out of fear of embarrassment 
  • Avoidance of situations where you might be the center of attention 
  • Fear of physical symptoms that may cause you embarrassment, such as: 
  • Blushing  
  • Sweating 
  • Trembling  
  • Having a shaky voice 
  • Anxiety in anticipation of a feared activity or event 
  • Expectation of the worst possible consequences from a negative experience during a social situation 
  • Analysis of your performance and identification of flaws in your interactions after a social situation 

For children with social anxiety disorder, anxiety about interacting with adults or peers may present itself as crying, having temper tantrums, clinging to parents, or refusing to speak in social situations.  

Several physical signs and symptoms can accompany social anxiety disorder, including: 

  • A fast heartbeat 
  • Trouble catching your breath 
  • Sweating 
  • Trembling 
  • Blushing 
  • An upset stomach or nausea 
  • Dizziness or lightheadedness 
  • A feeling that your mind has gone blank 
  • Muscle tension 

Social anxiety disorder symptoms can change over time and may flare up if you’re facing a lot of changes, stress, or demands in your life. Although avoiding situations that cause anxiety may make you feel better in the short term, your anxiety is likely to continue over the long term if left untreated. 

Like several other mental health conditions, social anxiety disorder likely stems from a complex interaction of biological and environmental factors, including: 

  • Brain structure 
  • Inherited traits 
  • Environment  

Many factors can increase the risk of developing social anxiety disorder, including: 

  • Family history 
  • Temperament 
  • New social or work demands  
  • Negative experiences 
  • Having an appearance or condition that draws attention to you 

If social anxiety is left untreated, it can control your life, as anxieties can interfere with work, school, relationships, or enjoyment of life, and can cause: 

  • Low self-esteem 
  • Poor social skills 
  • Isolation and difficult social relationships 
  • Trouble being assertive 
  • Negative self-talk 
  • Hypersensitivity to criticism 
  • Low academic and employment achievement 
  • Substance abuse, such as drinking too much alcohol 
  • Suicidal ideation, suicide, or suicide attempts 

To diagnose you with social anxiety disorder, a healthcare provider will want to determine whether other conditions may be causing your anxiety or if you have the disorder along with other physical or mental health disorders. They may determine a diagnosis based on: 

  • A physical exam that helps assess whether any medical condition or medication may trigger symptoms of anxiety 
  • A discussion of your symptoms, such as how often they occur, and in what situations 
  • Reviewing a list of situations to see if they make you anxious 
  • Self-report questionnaires about symptoms of social anxiety 
  • Criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) 

The treatment for social anxiety disorder depends on how much it affects your ability to function in your daily life. The most common treatment for social anxiety disorder includes psychotherapy, medications, or a combination of both. 

There isn’t a way to predict what will cause someone to develop anxiety disorders. However, you can take steps to reduce the impact of symptoms if you’re anxious, such as: 

  • Getting help early 
  • Setting priorities in your life 
  • Keeping a journal 
  • Avoiding unhealthy substance use 

Social anxiety disorder can be a chronic mental health condition, but learning coping skills in psychotherapy and taking medications can help you gain confidence and improve your ability to interact with others. 

If you are experiencing symptoms of social anxiety and need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Wellness Wednesday Tip

Our daily lives can be bombarded with constant bad news, tragedy, negativity, stress, worry, and anxiety. These factors can affect our mood and cause our nervous systems to overload, causing us to lose sleep, which can then lead to cardiovascular issues, weakened immune function, metabolic problems, and mental health conditions.  

Mindfulness and meditation are overlapping techniques proven to ease stress, improve sleep, and enhance concentration.  

Practicing mindfulness can be as simple as walking through a park, admiring nature, or using mental health apps to help anchor you in the present. Engaging in these activities can help calm anxiety, improve focus and concentration, and increase positive feelings.  

Meditation combines body and mind by focusing on sensations, such as breathing, images, or a repeated word or phrase. One exercise that works similarly well for adults and younger people is box breathing. Box breathing is a form of yogic deep breathing that uses the concept of a box with four sides, represented here by breathing while you slowly count to four, four times. Four counts of breathing in, four counts of holding your breath, four counts of exhaling, and four more counts of holding after your exhale. This rhythmic pattern of breathing helps regulate the nervous system, suppressing anxiety and stress, lowering the heart rate and blood pressure, and boosting focus. 

If you are feeling anxious or overwhelmed and need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment.  

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Legionnaires’ Disease

Legionnaires’ disease is a serious, life-threatening type of pneumonia caused by breathing in mist or getting water that has been contaminated with Legionella bacteria in the lungs. 

You can also get Legionnaires’ disease from: 

  • Hot tubs 
  • Shower heads 
  • Faucets 
  • Humidifiers 
  • Decorative water features 
  • Heating and cooling systems, usually only in large buildings 
  • Intubation during surgery 
  • Dirt 

Legionnaires’ disease is not contagious. Most people don’t get Legionnaires’ disease, even if they have been around Legionella bacteria. But some people are more likely to get sick with Legionella infection than others. You can have an increased risk of getting Legionnaires’ disease if you: 

  • Are older than 50 years old 
  • Smoke or used to smoke cigarettes 
  • Have a weakened immune system caused by certain medical conditions, such as HIV, diabetes, cancer, and kidney or liver disease, and medications that can compromise your immune system 
  • Have a long-term respiratory illness, such as chronic obstructive pulmonary disease (COPD) or emphysema 
  • Live in a long-term care facility 
  • Have stayed in a hospital recently 
  • Have had surgery requiring anesthesia recently 
  • Have received an organ transplant recently 

Legionnaires’ disease causes pneumonia-like symptoms that start two to 14 days after exposure to Legionella. It can also cause neurological and gastrointestinal symptoms. 

Symptoms of Legionnaires’ disease include: 

  • Fever (often over 104⁰F/40⁰C) 
  • A dry cough 
  • Shortness of breath 
  • Diarrhea 
  • Muscle aches 
  • Headache 
  • Nausea 
  • Confusion 
  • Coughing up blood 
  • Abdominal pain 

The most common way to diagnose Legionnaires’ disease is with urine and sputum tests. A healthcare provider may use imaging tests, such as an X-ray or CT scan, to get pictures of the inside of your chest. They will also take a physical exam and ask you about your health and travel history. 

Other tests used to diagnose Legionnaires’ disease can include: 

  • Blood tests 
  • Bronchoscopy 
  • Thoracentesis 

The treatment for Legionnaires’ disease is antibiotics, either intravenously or in pill form. If you are having trouble breathing, a healthcare provider may give you treatments to help you get enough oxygen. You will probably have to stay in the hospital while you are being treated. 

You can reduce your risk at home by making sure shower heads, faucets, hot tubs, and humidifiers are properly cleaned. 

If you are experiencing any symptoms of Legionnaires’ disease, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

ABC Method for Better Sleep and Better Brain Health

We all have nights when we can’t get a good night’s sleep. We toss and turn all night, waking up exhausted because of poor sleep quality.  

If you are experiencing poor sleep quality, the ABC method or ABCs of respiratory therapy can help you sleep properly and efficiently. The ABC method stands for:  

  • Airway 
  • Breathing 
  • Circulation 

This method helps regulate a variety of things, primarily oxygenation, which helps your body recover and stay functioning. Finding the right sleep position is essential to the ABC method. 

According to Dr. John Saito, a representative for the American Academy of Sleep Medicine (AASM), everyone has their own idea of what a good sleep position is, whether it is on the left or right side, the back, or stomach, but it all depends on the context. 

If a person is sleeping on their back and has a good support pillow that keeps their spine and neck in a neutral position, it allows their airway to remain open and unobstructed, and they can breathe easily. However, if a person has sleep apnea, sleeping on their back can be harmful to health, as their throat muscles become too relaxed and block the body’s upper airway.  

The ABC method can also work with babies, as most doctors recommend putting them on their backs to reduce the risk of sudden infant death syndrome (SIDS), which is an unexplained death that usually occurs during sleep. 

Dr. Saito suggests that sleeping on your side can offer several benefits. Sleeping on your right side may be better for blood flow, as well as lower pressure on your heart, due to the flexible compartment located between your lungs called the mediastinum, which helps hold your heart in place. 

Sleeping on your left side can also provide some benefits, as it may be better for clearing the waste product in the brain. This is known as the glymphatic system, which is the brain’s specialized waste clearance network that clears any harmful metabolic byproducts while we sleep, including proteins linked to Alzheimer’s disease. 

Lastly, Dr. Saito points out the difference between sleeping in a fetal or curled position and spreading out. Sleeping on either side of your body, with your spine straight, helps keep it aligned, while curling up on your side helps to ease lower back pain. However, being too curled up can compress your diaphragm and chest, which restricts breathing. 

Having trouble sleeping because you can’t find a comfortable sleeping position can cause you to move a lot throughout the night as you try to reposition yourself. This can disrupt your sleep and affect the quality of your sleep. Here are ways to practice sleeping in better positions to help you get a restful night’s sleep: 

  • If you sleep on your side, place a pillow between your knees to help better align your head, neck, and hips. This neutral posture can make breathing easier and result in deeper and more restorative sleep 
  • If you sleep on your back, place a pillow under your knees 
  • If you sleep on your stomach, place a thin pillow under your hips 

Additionally, choosing a mattress that adheres to the natural curve of your spine is an essential part of getting a good night’s sleep. 

There isn’t just one best position to sleep in. A lot of factors go into how your sleep position affects your quality of sleep. Whether you suffer from sleep apnea, back pain, are a chronic snorer, or are pregnant, the major goal is to find a comfortable and unobtrusive sleeping position that allows you to get a good night’s sleep. Choose whichever sleep position that makes you the most comfortable, as it will give you the best and most rest. 

Our New York Sleep Clinic staff consists of board-certified sleep specialists and respiratory therapists who are highly skilled in evaluating and treating sleep disorders. Our compassionate staff will ensure your stay is pleasant and helpful to your health. For additional information or to make an appointment, please call 718-206-5916. 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Common Vaccines That Can Prevent Chronic Diseases or Some Cancers

Vaccines don’t just protect you from specific infectious diseases or help reduce the severity of symptoms if you get sick. They also play a significant role in preventing you from developing common chronic diseases, including certain cancers. 

What’s more, there is an increasing amount of research that has shown that vaccines can reduce the risk of developing dementia and heart conditions. 

Here are some common vaccines that can prevent chronic diseases and some cancers: 

HPV Vaccine 

Human papillomavirus (HPV) is a common infection spread by skin-to-skin contact, often through sex, and is responsible for most cervical cancers. It can also cause a large number of lower genital cancers and certain head and neck cancers. 

Studies have shown that rates of HPV infection, early signs of precancer, and cervical cancer have fallen since the HPV vaccine was introduced. A 2024 study of an estimated 3.5 million participants found fewer cases of HPV-related cancers in people who were vaccinated. Another study found that cervical cancer deaths among women younger than 25 years old dropped more than 60 percent in recent years, with researchers suggesting that the significant decline was most likely the result of vaccinations.  

The HPV vaccine should be administered to all young people between the ages of nine and 26. It can be given to people up to the age of 45; however, the vaccine is less effective the older you are. Two doses of the vaccine are recommended for most people younger than 15 years old, and three shots for people between 15 and 26 years old and those who are immunocompromised. 

Shingles Vaccine 

Shingles is caused by the same virus that causes chicken pox. Unfortunately, the virus doesn’t leave your body after you have recovered from chicken pox and stays dormant in your nervous system, and for some people, it can reactivate and cause a painful rash. In the U.S., an estimated one million people get shingles each year, and for certain people, it can sometimes also cause lifelong chronic pain conditions or other serious complications, such as vision loss. 

According to the Centers for Disease Control and Prevention (CDC), the shingles vaccine is 97 percent effective in preventing shingles in adults between 50 and 69 years old.  

Additionally, many large-scale studies have reported a connection between the shingles vaccine and reduced risk of dementia. There is also research that suggests the vaccine could reduce the risk of cardiovascular events such as stroke, heart failure, and coronary artery disease. The CDC recommends two doses of a shingles vaccine for adults 50 and older, or people 19 years or older with weakened immune symptoms. The chicken pox vaccine for children can help prevent shingles when they’re older. 

Hepatitis B Vaccine 

The hepatitis B virus is a leading risk factor for liver disease and cancer later in life. It can be contracted through sexual contact, needles, and childbirth, and can be passed from person to person through blood, semen, or other bodily fluids.  

Acute hepatitis B can be a short-term illness that happens within the first six months of exposure to the virus. It can cause people to have no symptoms or only mild sickness. However, the illness, which is a liver infection that can become a lifelong chronic condition if left untreated, could lead to cirrhosis and liver cancer. It is recommended that all infants receive the vaccine at birth, with the series of shots to be completed in the first 15 months of their life. 

Flu, Coronavirus, and RSV Vaccine 

Vaccines that help prevent infections from respiratory viruses are important because they protect us against serious disease, as well as flare-ups or worsening of existing chronic health conditions.  

A study done in 2020 found higher rates of severe flu infections among adults with certain chronic medical conditions, such as diabetes, kidney disease, congestive heart failure, coronary artery disease, chronic obstructive pulmonary disease (COPD), and asthma. Additionally, a study of 46 million adults observed that the incidence of heart attacks and strokes decreased after people received coronavirus vaccinations.  

The CDC recommends that everyone six months and older should get an annual flu shot.  

It is also important for those who have chronic conditions to get the coronavirus and RSV vaccines.  

RSV can be devastating for children and elderly people. Getting the RSV vaccine is recommended for babies, pregnant women to protect their babies, adults ages 50 to 74 with chronic health conditions, and all adults 75 and older. 

Bacterial Vaccines 

Bacterial infections such as meningitis and pneumonia can also lead to chronic disabilities or even death.  

The longer a person has a meningitis infection, the greater the risk of the infection causing serious complications such as hearing loss, vision troubles, memory issues, learning disabilities, brain damage, seizures, and kidney failure. 

Pneumonia can have long-term effects, such as depression, heart disease, and blood vessel diseases that worsen. According to the National Heart, Lung, and Blood Institute, pneumonia could cause kidney, liver, and heart damage due to the organs not getting enough oxygen to function properly, or because of the immune system responding negatively to the infection.  

Both bacterial meningitis and pneumonia can lead to sepsis. If treated early, a person suffering from sepsis can recover completely; however, others might experience long-term effects, including insomnia, nightmares or hallucinations, panic attacks, joint and muscle pain, decreased cognitive function, and organ failure.  

The CDC recommends all preteens and teens, as well as children and adults who are at an increased risk, receive the meningococcal vaccine, as it protects against the disease that causes meningitis. Children five years and younger and adults 50 or older should receive the pneumococcal vaccine, which helps prevent pneumonia and other infections, including meningitis and sepsis.  

It is important to remember that getting vaccinated is the best way to protect against worsening or serious symptoms of illness and developing chronic diseases and cancers. 

To learn more about our infectious disease services or to make an appointment with our infectious disease physicians, please contact Jamaica Hospital Medical Center at 718-206-6000. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Dispelling PTSD Myths

Knowing the facts about post-traumatic stress disorder is crucial because it helps to dismantle stigmas and confusion surrounding the disorder.

PTSD is a mental health condition that develops in people who have witnessed or experienced terrifying, traumatic, or significant life-changing events, such as natural disasters, car accidents, sexual assault, or combat.

According to the National Center for PTSD, the disorder affects approximately 5% of adults living in the United States in any given year.

Each person experiences PTSD in their own way.  They may experience any of the symptoms that fall within the following four categories:

  • Intrusion: Having intrusive thoughts such as repeated, unwanted, or distressing memories of the triggering event; reliving or having flashbacks of the traumatic event; or having nightmares about the event.
  • Avoidance: Avoiding reminders of the event, including activities, places, people, objects, or situations. Avoiding thinking or talking about traumatic events.
  • Changes in mood and thinking: Feeling ongoing sadness, guilt, or shame; having trouble remembering key details of the traumatic event, having ongoing negative thoughts about oneself and others, feeling detached from others, or being disinterested in activities once enjoyed.
  • Changes in arousal and reactivity: Having trouble concentrating, having trouble sleeping, being irritable or having angry outbursts, displaying aggressive, reckless, or destructive behavior, or being hypervigilant.

While the facts about PTSD have been established, harmful myths about PTSD persist.  Here are some inaccurate ideas people may have about the disorder:

  • Myth: Only military veterans experience PTSD

Truth: Anyone, including children, can develop PTSD

  • Myth: Having PTSD means you are weak or broken

Truth: PTSD is a medical condition that involves changes in how our brain responds to extreme stress. It is not a character flaw and has nothing to do with mental strength.

  • Myth: PTSD occurs immediately after a traumatic event

Truth: The symptoms of PTSD may not manifest or present right away.  It is common for the effects of PTSD to remain dormant for months or years before surfacing.

  • Myth: PTSD only occurs after extremely traumatic events

Truth: Trauma is subjective and manifests differently for every individual. What counts as trauma for one person may look different for another; therefore, no one’s experiences should be minimized.

  • Myth: People with PTSD are violent or dangerous

Truth: Most individuals with PTSD are not violent. In fact, they are more likely to experience avoidance and withdrawal. Many can lead normal lives and understand their responses with proper care and support.

  • Myth: Once you have PTSD, you’ll always have it

Truth: PTSD is a treatable medical condition. People can recover significantly with a treatment plan that can involve therapy, medication, or support systems.

Myths and misconceptions surrounding PTSD can make those who are affected feel isolated and delay treatment. Understanding the facts helps reduce stigma and encourages people to seek help.

To schedule an appointment with a licensed mental health professional at Jamaica Hospital Medical Center, please call 718- 206-5575.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Men’s Health Month- Health Screenings for Men

June is Men’s Health Month. This observance aims to raise awareness about preventable health problems that affect men and boys.  

Statistics show men are less likely than women to seek medical attention when something affects their health. Men are also less likely to have preventative screenings and checkups with their healthcare providers. This is a problem as early detection of a medical condition is the best way to effectively treat and manage it. 

Additionally, avoiding or delaying checkups or screenings could result in a treatable condition becoming severe and/or fatal. 

The U.S. Preventative Services Task Force (USPSTF) publishes a list of recommended, age-specific screening guidelines for men to help them manage their health: 

Screenings guidelines recommended for men ages 18-39 include: 

  • Physical examinations 
  • Blood pressure screenings 
  • Cholesterol screenings 
  • Colon cancer screenings 
  • Dental examinations 
  • Prediabetes and type 2 diabetes screenings 
  • Eye examinations 
  • Immunizations  
  • Skin examinations 
  • Infectious disease screenings 

Screenings guidelines recommended for men ages 40-64 include: 

  • Physical examinations 
  • Blood pressure screenings 
  • Cholesterol screenings 
  • Colorectal cancer screenings 
  • Prostate cancer screenings 
  • Osteoporosis screening 
  • Lung cancer screening 
  • Infectious disease screening 
  • Immunizations 
  • Eye examinations 
  • Dental examinations 
  • Skin examinations 

It is important to visit your healthcare providers regularly, even if you are feeling healthy. These visits can help: 

  • Screen for any medical issues 
  • Encourage a healthy lifestyle 
  • Assess your risk for any future medical problems 
  • Update vaccinations and other preventative care services 
  • Help you get to know your healthcare provider in case of an illness 

If you are experiencing any medical problems or would like to receive health screenings, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center, by calling (718) 206-7001. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Hyperpigmentation

Hyperpigmentation is a common condition that makes some of the areas of the skin darker than others.  

Hyperpigmentation occurs when the skin cells that create melanin in the skin get damaged or become unhealthy and produce too much melanin. The extra melanin can clump and cause the area to appear darker and create brown, black, gray, red, or pink patches or spots.  

There are many things that can lead to hyperpigmentation, including: 

  • Adrenal disorders, such as Addison’s disease 
  • Hormone changes, such as those during pregnancy or puberty 
  • Genetics, such as families who have freckles 
  • An injury to the skin, such as acne, cuts, or burns 
  • Melasma 
  • Medications, such as birth control pills and drugs that cause sensitivity to light 
  • Not getting the correct number of vitamins, such as B12 and folic acid 
  • Thyroid disorders 
  • Sun damage 

Hyperpigmentation doesn’t cause any symptoms other than dark spots. If you have spots on your skin with any other symptoms, talk to your healthcare provider or a dermatologist. 

When diagnosing hyperpigmentation, a healthcare provider may: 

  • Ask about your medical history, including when the darkened skin began and what medications you are taking 
  • Perform a physical exam to look at your skin 
  • Order blood tests to check vitamins, hormones, and iron, as well as your thyroid function 
  • Examine your skin under a Wood lamp, which is a special ultraviolet light 
  • Take a small sample of your skin for a biopsy 

Depending on the causes for hyperpigmentation, your healthcare provider may suggest lifestyle changes, such as: 

  • Avoiding sun damage by staying out of the sun, using sunscreen, and wearing protective clothing 
  • Taking vitamins 
  • Stopping any medications that may be causing it 

Your healthcare provider may also recommend prescription or over-the-counter (OTC) topical therapy, such as: 

  • Azelaic acid 
  • Corticosteroids 
  • Glycolic acid 
  • Hydroquinone 
  • Kojic acid 
  • Salicylic acid 
  • Skin bleach  
  • Tretinoin  
  • Vitamin C or B3 

Other hyperpigmentation treatments may include: 

  • Chemical peels 
  • Cryotherapy 
  • Laser skin resurfacing 
  • Pigment lesion laser 

Hyperpigmentation can’t always be prevented. However, protecting your skin from the sun helps. Here are some tips to protect your skin from the sun, including: 

  • Applying a “broad spectrum” sunscreen with an SPF of 30 or higher every day 
  • Using physical blockers, such as titanium dioxide or zinc oxide 
  • Avoiding too much sun exposure 
  • Wearing protective clothing and hats 

If you are experiencing any signs of hyperpigmentation, you can schedule an appointment with a dermatologist at Jamaica Hospital Medical Center’s Ambulatory Care Center, please call (718) 206-7001. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Body Dysmorphia

Body dysmorphia or body dysmorphic disorder (BDD) is a mental health condition that causes you to unfairly and negatively think about how you see and feel about your body and appearance. A person who has body dysmorphia may feel embarrassed, ashamed, or anxious. Other common symptoms of body dysmorphia include: 

  • Constantly comparing yourself with others 
  • Constantly asking others if you look okay 
  • Not believing others when they say you look fine 
  • Hiding parts of your body under a hat, scarf, or makeup 
  • Constantly checking yourself in the mirror or avoiding them entirely 
  • Constantly grooming or exercising 
  • Picking at your skin with your fingers or tweezers 
  • Seeing several healthcare providers about your appearance 
  • Having unnecessary plastic surgeries 
  • Suicidal ideations 
  • Avoiding social situations 
  • Not leaving the house, especially during the day 

These symptoms can cause severe disruptions in a person’s life, affecting their thoughts, which can undermine their mental and physical well-being. 

Experts estimate that body dysmorphia affects about 2.4% of adults in the U.S. overall, and between 1.7% and 2.9% of people globally. 

Body dysmorphia is most likely to begin in the teen or early adult years. Two-thirds of people with body dysmorphia develop the condition before the age of 18, usually around 12 or 13 years old. However, it can also start in early adulthood. 

Experts don’t fully know how or why body dysmorphia occurs, but they believe multiple factors are involved, such as: 

  • Genetics 
  • Brain structure, chemistry, and activity differences 
  • Cultural influences and popular media 
  • A history of childhood abuse, neglect, or bullying 

People who suffer from body dysmorphia are more likely to have other mental conditions, including: 

  • Anxiety disorders 
  • Depression 
  • Eating disorders 
  • Obsessive-compulsive disorder (OCD) 
  • Substance use disorders 

The symptoms of body dysmorphia can take many shapes as a person who suffers from this condition can excessively focus on one or more parts of the body, such as their: 

  • Face, such as their nose, complexion, wrinkles, acne, and other blemishes 
  • Hair, such as its appearance or any thinning and/or baldness 
  • Skin and appearance of their veins 
  • Breast size 
  • Muscle size and tone 
  • Genitalia  

There aren’t any medical tests that can diagnose dysmorphia. A healthcare provider will perform a medical evaluation to help rule out other medical conditions and may refer you to a mental health professional for further evaluation. The mental health professional will diagnose body dysmorphia based on: 

  • A psychological evaluation, which assesses risk factors, thoughts, feelings, and behaviors related to negative self-image 
  • Your personal, social, family, and medical history 
  • Signs and symptoms that you have experienced 

The treatment for body dysmorphia often can include a combination of: 

  • Psychotherapies, such as cognitive behavioral therapy (CBT) and family therapy 
  • Medications, such as antidepressants 

You may find that negative thoughts about your body are hard to control, and you may even spend hours each day worrying about the way you look. Your thinking can become so negative and persistent that you may think about suicide at times. If you are having suicidal thoughts or behaviors, dial 988 on your phone to reach the Suicide and Crisis Lifeline. If there is an emergency, call 911. 

If you need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment. 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.