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Social Anxiety

Posted on August 28, 2024 by Patrick Hercules

Social anxiety disorder is a medical condition that causes intense fear of being judged or watched by others in social situations.

Social anxiety disorder typically begins in the early to mid-teens, though it can sometimes start in younger children or adults.

Like many other mental health conditions, social anxiety disorder likely arises from a complex interaction of biological and environmental factors, which may include:

Inherited traits
Brain structure
Environment

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

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

There are many signs and symptoms of social anxiety disorder, including:

Emotional and behavioral symptoms
- Fear of situations in which you may be judged negatively
- Worry about embarrassing or humiliating yourself
- Intense fear of interacting or talking with strangers
- Fear that others will notice that you look anxious
- Fear of physical symptoms that may cause you embarrassment, such as blushing, sweating, trembling, or having a shaky voice
- Avoidance of doing things or speaking to people out of fear of embarrassment
- Avoidance of situations where you might be the center of attention
- Intense fear or anxiety during social situations
- Analysis of your performance and identification of flaws in your interactions after a social situation
- Expectation of the worst possible consequences from a negative experience during a social situation
Physical and physiological symptoms
- Blushing
- Fast heartbeat
- Trembling
- Sweating
- Upset stomach or nausea
- Trouble catching your breath
- Dizziness or lightheadedness
- Feeling that your mind has gone blank
- Muscle tension

People living with social anxiety may avoid social situations such as:

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

The symptoms of social anxiety disorder can change over time. They may flare up if you’re facing many changes, stresses, or demands in your life.

Although avoiding situations that produce anxiety may make you feel better in the short term, your anxiety is likely to continue over the long term if you don’t get treatment. Therefore, you should speak to your doctor about the symptoms you are experiencing. Your healthcare provider will want to determine whether other conditions may be causing your anxiety or if you have a social anxiety disorder along with another physical or mental health disorder. They may determine a diagnosis based on the following:

A physical exam to help assess whether any medical condition or medication may trigger symptoms of anxiety
A discussion of your symptoms, how often they occur, and in what situations
A review of 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) published by the American Psychiatric Association

Treatment depends on how much social anxiety disorder affects your ability to function in daily life. Treatments can include:

Psychotherapy (the most common treatment)
- Cognitive behavioral therapy (CBT) is the most effective type of psychotherapy for anxiety
Medications
- Antidepressants
- Anti-anxiety medications
- Beta-blockers

If you or someone you know has a social anxiety disorder, you can call or schedule an appointment with a mental health provider 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.

How to Increase Your Stamina

Posted on August 7, 2024 by Patrick Hercules

Stamina is the ability to sustain prolonged physical or mental effort.

Physical stamina is the ability to put in the maximum amount of effort during a physical activity, over some time while maintaining optimal performance.

Low stamina can negatively impact a person’s overall quality of life. Low physical stamina is associated with:

Poor athletic performance
Fatigue
Weight gain
Decreased sex drive
Erectile dysfunction
Difficulty sleeping

High physical stamina can lead to:

Increased energy levels
Improved cardiovascular health
Better sleep
Higher sex drive
Improved athletic performance

An effective way to build up physical stamina is by doing aerobic exercises and high-intensity interval training (HIIT).

Mental stamina, sometimes called mental toughness, is the ability to handle life’s stresses, perform well under pressure, and maintain focus despite distractions.

Mental stamina has multiple components that can be referred to as the four C’s of mental toughness including:

Control: feeling like you are in control of your life, circumstances, and emotions.
Commitment: sticking with your goals even when it gets difficult.
Challenge: viewing potential threats to your success as opportunities instead.
Confidence: believing in yourself and your ability to succeed.

Low mental stamina is associated with:

Difficulty with daily tasks
Depression
Increased stress levels
Decreased attention span
Irritability

High mental stamina can lead to:

Increased attention span
Improved ability to focus on a task
Decreased stress levels
Increase in productivity

There are several ways to build mental stamina, including:

Setting “S.M.A.R.T.” goals- increase mental stamina by setting specific, measurable, action-oriented, realistic, and time-efficient goals.
Find your motivation- focus on “why” you are working on a particular task to help motivate you to keep going.
Seek outside support- find people who will support you as you pursue your goals, such as a coach or other people who are pursuing similar goals.
Be positive- maintain a positive attitude about your progress and visualize yourself achieving your goal.
Stay focused- mental stamina depends on your ability to pay attention to a task for an extended amount of time.
Be aware of your environment- remove potential distractions from your environment when working on tasks to help build mental stamina.
Practice stress management techniques- reducing stress can improve mental stamina. Techniques such as mindfulness, stress therapy, and diaphragmatic breathing can be helpful.

Remember stamina can be built up, whether it’s physical or mental.

If you are experiencing any medical problems while exercising, you can schedule an appointment with a neurologist at Jamaica Hospital Medical Center’s Ambulatory Care Center, please call (718) 206-7001.

How Being Outdoors Benefits Mental Health

Posted on July 9, 2024 by Xavia Malcolm

Nature provides us with many healing properties including natural light from the sun, green spaces such as parks, and blue spaces such as bodies of water; all of which have been proven to have positive effects on our mental health.

Spending time regularly in nature can promote good mental health by helping our minds to relax and rejuvenate. Furthermore, research shows that regular exposure to nature has been linked to a host of other mental health benefits. Here are a few:

Improved cognitive function
Improved focus
Improved memory
Increased creativity
Decreased stress
Decreased anxiety symptoms
Decreased feelings of loneliness
Reduced depression symptoms

We must connect regularly with nature to reap its benefits. We can nurture our connection by partaking in activities such as hiking, going to the beach, or camping.

For those who are unable to plan getaways or excursions, getting access to nature does not always need to include extensive planning or activities. We can also enjoy nature in urban or small spaces, and in a few minutes each day by:

Going to a park
Tending to a plant or garden at home
Spending time in our backyards
Looking outside our windows at trees and plants
Placing a plant in our workspaces
Sitting by a pond
Listening to nature sounds, such as raindrops or the ocean

Maintaining good mental health is crucial for our overall well-being. This can be accomplished by incorporating time in nature into our daily routines, and, most importantly, seeking the care and support we need when we experience symptoms of a mental health condition.

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.

PTSD Awareness Month

Posted on June 13, 2024 by Patrick Hercules

June is PTSD Awareness Month, and Jamaica Hospital Medical Center is doing its part to raise awareness by sharing important facts.

PTSD or Post-traumatic Stress Disorder is a mental health condition that is triggered after experiencing a traumatic event. A traumatic event can be anything from experience in combat, an assault, an accident, or a natural disaster.

While most of us would have a hard time processing a traumatic event, symptoms resulting from that experience are likely to get better over time. Those who suffer from PTSD find that their symptoms do not get better but get worse because there is a significant impact on how they can function in their day-to-day lives.

Some of the symptoms of PTSD include:

Trouble sleeping
Reliving the traumatic event
Nightmares
Hopelessness about the future
Loss of concentration
Difficulty maintaining close relationships.
Being quick to anger
Self-destructive behaviors, like abusing drugs or alcohol.
Hearing or seeing things that aren’t there.
Being easily frightened

Like most other illnesses, some people have a higher risk factor of suffering from PTSD than others. This includes people who have already gone through a traumatic event, those who do not have a good support structure like close friends and family that they can rely on, and if there is a family history of mental illness or if they already have a mental health problem.

Here are some ways you can help someone with PTSD:

Learning about PTSD and how it can affect loved ones.
Listening to the individual when they are uncomfortable with doing certain activities.
Being there for them, without trying to fix them.
Encouraging them to seek treatment and participate in activities
Find support for yourself.
Recognizing the symptoms, even in yourself. Living with someone with PTSD can sometimes result in secondary PTSD, which is when the partner or family member feels symptoms that are similar to PTSD.
Combating the stigma. Challenge the stigma that surrounds PTSD and mental health. Be mindful of your language and attitudes. Promote open, judgment-free conversations about mental health in your circles. Encourage others to see PTSD not as a weakness, but as a sign of a person’s resilience.

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

Mental Health Therapy for Trauma Survivors

Posted on April 17, 2024 by Jacob Lobosco

Trauma can have a significant negative impact on your mental health. If you’ve been a victim of a serious injury, abuse, or a catastrophic event in your personal life, you face a higher likelihood of developing conditions such as post-traumatic stress disorder (PTSD), which can create new challenges in various aspects of your daily life. To reduce this risk or learn to overcome conditions such as PTSD, it’s important to seek help from a qualified mental health professional.

Psychiatrists and other mental healthcare providers can use a variety of techniques to help you learn to process your trauma in a healthy way. One of the most effective tools available for providing this care is cognitive behavioral therapy (CBT), which focuses on:

Finding unhealthy and unhelpful patterns in your thoughts, feelings, and behaviors
Identifying how these patterns contribute to any challenges you experience in your daily life
Changing these patterns to help you overcome the challenges you face

Therapists may also use other variations of CBT during your treatment, depending on what particular mental health problems you experience in connection with your trauma. These alternatives include:

Cognitive processing therapy, which focuses on challenging and changing beliefs you’ve developed because of your trauma
Cognitive therapy, which focuses on helping you evaluate or remember your trauma in a way that is less disruptive or more helpful for your ability to function
Prolonged exposure, which helps you learn to approach trauma-related thoughts, feelings, or situations that you may be avoiding

Other treatment approaches, including medication and other forms of psychotherapy, may also be available for people who have experienced trauma, depending on the nature of their symptoms and responsiveness to standard treatment.

You can find compassionate, effective therapeutic treatment or support for trauma-related mental health conditions at Jamaica Hospital Medical Center’s Department of Psychiatry, as well as our new Trauma Survivors support program. To learn more or to schedule an appointment, please call (718) 206-5575.

The Effects of Stress on Our Health

Posted on April 16, 2024 by Xavia Malcolm

Long-term or chronic stress can harm our mental and physical health. When we are experiencing stress, the body releases hormones such as cortisol and adrenaline, which if they persist at high levels can lead to adverse reactions including suppression of the digestive system and immune systems, elevation of blood pressure and blood sugar levels, and disruption in the processes of the brain that control mood, perception, and cognition.

Over time, these negative changes in our body may increase the risk of stroke, diabetes, heart disease, hypertension, depression, anxiety, and other health problems. Furthermore, continued stress makes it more difficult to recover from these conditions.

Reducing or managing stress levels by learning to cope healthily can greatly improve your health and reduce the risk of certain diseases. Here are a few stress management techniques you can try:

Learn to identify stressors or triggers, and reduce or eliminate them
Practice relaxation techniques such as yoga, deep breathing exercises, or meditation
Get the recommended amount of sleep
Practice good time management
Avoid harmful ways to cope with stress such as binge eating, drinking excessively, using illicit drugs, or smoking tobacco
Exercise regularly
Eat a well-balanced diet
Connect with others

Practicing stress-reduction techniques is not a one-size-fits-all approach. If high levels of stress persist and you continue to feel overwhelmed, you may need additional support from a trained professional. A licensed therapist or mental health counselor can evaluate your mental and emotional health, and suggest a plan of treatment that can help you.

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

What Should You Do During a Panic Attack?

Posted on March 13, 2024 by Jacob Lobosco

When a panic attack strikes, it can be difficult to think clearly. Panic attacks can occur suddenly and without warning, causing a feeling of intense fear as well as symptoms that may resemble other medical emergencies, such as heart attacks. Some of these symptoms include:

Chest pain
Nausea
Shortness of breath
Rapid or pounding heartbeat
Hot flashes and sweating
Numbness or tingling

While they are not necessarily dangerous to your physical health on their own, panic attacks can have a detrimental effect on your mental health, especially if they become worse or more frequent over time. If you experience one, there are certain steps you should take to get through it and improve your ability to prevent future attacks:

When in doubt, go to the emergency room: The symptoms of panic attacks are similar enough to other serious medical conditions that it may be very difficult for you to distinguish between them in the moment. The safest option is to call 911 and get to the emergency room immediately. If no signs of a heart attack or other medical emergency are found during your visit, it’s more likely that what you experienced was a panic attack.

Get a friend or family member’s help: During a panic attack, you may find it difficult to calm down or communicate clearly, so it’s important to have a friend or family member with you who can help. This person should be able to get you anything you might need while experiencing the panic attack, such as water or a quiet space to yourself, and help you communicate with any healthcare providers who treat you.

Practice deep breathing exercises: Many people hyperventilate during a panic attack, meaning that they breathe too rapidly; this can cause symptoms to worsen and increase the sense of fear that occurs during an attack. Slower, deeper, rhythmic breathing can help reduce these symptoms and make them easier to cope with.

If you experience a panic attack, it’s important to visit a psychiatrist as soon as possible to receive treatment that can reduce the severity and frequency of future attacks. You can schedule an appointment with a psychiatrist at Jamaica Hospital Medical Center’s Mental Health Clinic by calling (718) 206-5575.

Recognizing the Signs of Online Gambling Addiction

Posted on February 9, 2024 by Jacob Lobosco

When you’re virtually betting on a football game or playing casino games like poker or roulette through a website or an app, there are plenty of opportunities and platforms available today for online gambling. However, with such an increase in options for gambling virtually, there is also an increased risk of developing a gambling addiction, so it’s important to be able to identify the signs of this kind of addiction in yourself as they appear.

A gambling addiction, also known as gambling disorder, involves a compulsion to repeatedly gamble with increasing amounts of money in order to achieve a desired level of excitement, even when this behavior is causing financial harm to yourself and your family. Gambling can be as addictive (and, potentially, as destructive) as alcohol or drugs; in fact, the American Psychiatric Association places gambling disorder in the same classification level as these substance use disorders.

Gambling disorder develops gradually, so you may not immediately recognize signs of this problem when they begin to appear. According to the American Psychiatric Association, a doctor may diagnose a person with gambling disorder if they recognize four or more of the following symptoms:

Compulsion to gamble with increasing amounts money for excitement
Restlessness or irritability while trying to reduce gambling
Repeated unsuccessful attempts to limit time spent gambling
Frequent thoughts about gambling
Gambling as a result of distress
Often attempting to win back gambling losses
Hiding gambling activity
Risking relationships, employment, or educational opportunities to continue gambling
Relying on other people for help with financial problems while gambling

For people who gamble virtually, the risks of developing an addiction are significantly higher than someone who only does it in a physical location, as opportunities to continue gambling are always available and accessible. Some steps you can take to prevent or treat gambling disorder in this situation include:

Reaching out for mental and emotional support from trusted people or support groups
Distracting yourself with different activities
Thinking about what will happen when you gamble, particularly in terms of damage to relationships and opportunities
If necessary, deleting gambling-related apps from your device
Getting help from a licensed psychiatrist

If you need professional help coping with gambling disorder, you can schedule an appointment with a psychiatrist at Jamaica Hospital Medical Center’s Outpatient Psychiatric Clinic by calling (718) 206-5575.

Making Your Mental Health a Priority This Year

Posted on January 4, 2024 by Jacob Lobosco

Many people experience chronic mental health problems such as anxiety and depression. These issues can be caused by a wide variety of factors, some of which can be directly changed or coped with in a healthy way.

As the new year begins, you can use this time to start identifying mental health issues you experience, some of the potential causes of those issues, and how you can work to improve them. Some specific steps you can take to start making positive changes for your mental health include:

Improving your physical health: Your physical and mental well-being are deeply intertwined and have a strong impact on one another. Improving your diet, developing a regular exercise routine, and getting enough sleep each night can lead to major improvements in your mood, outlook, and ability to think clearly, allowing you to cope more effectively with mental health challenges.

Recognizing positive things in your life: If your mind often drifts toward negative thoughts and emotions, it’s important to recognize and be thankful for aspects of your life that are positive. This can be anything from having a strong social support system of friends and family, simply having a roof to sleep under each night, or being in good physical health.

Developing effective coping mechanisms: Coping mechanisms are an important tool for anyone who experiences mental health problems. These strategies allow you to adjust the way you mentally process things that distress you, making them easier to deal with. Some healthy examples of coping mechanisms include:

Looking for ways to resolve the cause of distress, if possible
Viewing the problem from a different perspective
Talking to someone who supports you

You can make positive, effective changes to improve your mental health this year with the help of a psychiatrist at Jamaica Hospital Medical Center’s Mental Health Clinic. To schedule an appointment, please call (718) 206-5575.

Tips for Managing Holiday Stress

Posted on December 13, 2023 by Jacob Lobosco

For many people, the holiday season can be a stressful time. Whether you’re experiencing financial difficulties, relationship issues with loved ones, or health problems that interfere with your ability to enjoy the holidays, it’s important to have effective ways to manage these causes of stress to prevent them from disrupting your holiday season. Some steps you may consider taking include:

Setting reasonable expectations for yourself: Circumstances such as cost or availability may sometimes make it difficult to accomplish certain things during the holiday season, such as getting an expensive gift for someone or hosting a big family dinner. To avoid stress, don’t over-extend yourself; instead, recognize what you can reasonably accomplish with the time and resources you have. Set realistic expectations for any gift-giving, hosting, or other responsibilities you have for the holidays.

Learning to de-escalate (or avoid) conflicts: Some holiday gatherings may bring family members together who don’t get along well. Conflict at these gatherings can create negative experiences for everyone involved, so it’s helpful to consider ways in which you can de-escalate them. If you’re hosting, try to steer the conversation into a more friendly direction; if the conflict escalates, remove the involved members from the gathering. Alternatively, it can also help to remove yourself from the situation, particularly if you’re one of the people directly involved in the conflict.

Keeping up with therapy: If you regularly attend therapy sessions for your mental health, try to maintain this schedule during the holiday season. While this part of the year can become extremely busy for many people, therapy can be an important outlet for stress, as well as a tool to help you learn coping mechanisms throughout the holidays.

If you need a psychiatrist to help you manage mental health problems, such as severe stress, that worsen during the holiday season, you can schedule a therapy appointment at Jamaica Hospital Medical Center’s Department of Psychiatry by calling (718) 206-5575.