Worry vs. Anxiety- What Is The Difference?

Treating Anxiety At Jamaica Hospital

Although many use the words worry and anxiety interchangeably; the two are very different psychological states.    

According to Psychology Today, “Worry tends to be more focused on thoughts in our heads, while anxiety is more visceral in that we feel it throughout our bodies.”

When we worry, our thoughts are often caused by realistic or specific concerns we can resolve by problem solving. An example of a worrying thought is “If I don’t study hard enough, I will not pass my test.”  Once you have identified the problem and arrived at the solution- which is to study hard; you are likely to move on from this thought and diminish worry.

On the other hand, when we are experiencing anxiety, our thoughts can be irrational or vague. They can linger for extended periods of time and can impact our lives in a negative way.  An example of this is persistently thinking something will go wrong every time you take a test.  As a result, you may experience fear or other emotions that will cause your body to react negatively.

Worry and anxiety affect our bodies in different ways.   Because worrying tends to be temporary, the effects are mild. You may experience short-term emotional distress or tension. The physical reactions caused by anxiety, however, can be more intense. Someone with anxiety may experience symptoms such as tightness in the chest, an increased heart rate, rapid breathing, headaches, trembling, gastrointestinal problems or trouble sleeping.

The symptoms of anxiety can serve as warning signs of serious health conditions such as anxiety disorder, panic attack or depression.  You should speak with a doctor if symptoms are persistent and interfere with daily activities.

A mental health professional can diagnose anxiety by performing a psychological examination.  Treatment may involve medication and psychotherapy.

To schedule an appointment with a 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.

Claustrophobia

claustrophobia, phobia, anxiety, panicattack, panic

Categorized as a “phobia”, claustrophobia is diagnosed when the patient exhibits persistent (usually 6 months or longer) unreasonable or excessive fear due to the presence or anticipation of a specific situation.  That fear will often times cause an anxiety response that may lead to a panic attack.

People with claustrophobia will go to great lengths to avoid what triggers their anxiety, such as:

  • Being in a small room without windows
  • Riding in an airplane, small motor vehicle or subway car
  • Being in a packed elevator
  • Undergoing medical testing such as a MRI or CT scan
  • Attending large gatherings like a concert or party
  • Standing in a closet

While in the throes of an episode, the person with claustrophobia may experience one or more of these symptoms:

  • Sweating and chills
  • Dry mouth
  • Headache and numbness
  • Tightness in the chest, and chest pain
  • Nausea
  • Disorientation and confusion
  • Lightheadedness, fainting, and dizziness
  • High blood pressure and an accelerated heart rate

In severe cases, claustrophobia may cause reactions that can interfere with the person’s everyday life, professional life and relationships.

If you are experiencing the signs and symptoms of claustrophobia and would like to speak with a mental health professional at Jamaica Hospital Medical Center, please call 718-206-7160 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.

Perinatal Generalized Anxiety Disorder

Awaiting the arrival of your child or becoming a mother should be a time of great hope and happy anticipation, but for some, it can bring a wave of depression and anxiety. If you are experiencing depression and anxiety that occurred during or within one year after your pregnancy, you may have Perinatal Generalized Anxiety Disorder (GAD).

GAD is usually prevalent in those who have a history of depression, anxiety or substance abuse, a family history of mental illness, lack of a good support system, issues with a previous pregnancy or schedule and hormonal changes.

Some common signs of GAD are:

  • Feeling sad, depressed, and/or crying a lot
  • Diminished interest in becoming a mother
  • Feeling worthless or guilty, especially about not being a good mother
  • Strong anxiety, tension, and/or fear either about your future child or other things
  • Sleep problems
  • Thoughts of wanting to be dead or wanting to kill yourself
  • Having low energy
  • Loss of or increase in appetite or weight
  • Trouble focusing, remembering things, or making decisions
  • Feeling restless or irritable
  • Having headaches, chest pains, heart palpitations, numbness, or hyperventilation

Often times the new mom may experience disbelief, embarrassment, shame or guilt with GAD before seeking treatment to manage the disorder.  Successful management of GAD can be done through medication and/or therapy.

If you are expecting a baby or have just become a mom and are feeling any of the symptoms listed above, you can make an appointment at Jamaica Hospital Medical Center’s Department of Mental Health for a screening.

To make an appointment, 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.

Social Anxiety Disorder

Mental Health Clinic Queens Social anxiety disorder or social phobia is a common type of anxiety disorder that affects approximately 15 million adults living in the United States.  According to the Anxiety and Depression Association of America, it is characterized by “an intense anxiety or fear of being judged, negatively evaluated, or rejected in a social or performance situation.”

There is no exact known cause for social anxiety disorder; although, it is believed that genetics play a significant role.  Social phobia is also linked to having an overactive amygdala; the part of the brain that controls our response to fear.  Others factors believed to contribute to the disorder are a history of abuse or bullying.

The onset of social anxiety disorder typically begins in the early to mid –teens; however, it can also occur in young children and adults.

Those with social anxiety disorder often experience physical symptoms associated with fear or anxiety in social situations. These symptoms may include rapid heart rate, dizziness, muscle tension, sweating or nausea.

Symptoms of social anxiety disorder can profoundly affect an individual’s ability to live a normal life.  Those affected often avoid or have trouble with normal, day-to-day social situations such as making eye contact, entering rooms where there are people, using public restrooms, eating in front of people or going to work or school.

These behaviors are often indicative of a more serious problem that could be developing as a result of social anxiety disorder. If left unaddressed, social phobia can lead to low self-esteem, negative thoughts, depression, substance abuse or suicide.

The best approach to treating social anxiety disorder is to receive assistance from a mental health professional.  They will be able to assess your health to determine whether you have a social anxiety disorder or other mental health conditions.  As part of your treatment, a mental health professional may recommend psychotherapy or medications.  They may also suggest implementing lifestyle changes such as exercising, learning stress reduction skills or participating in support groups.

To make an appointment or to speak 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.

Can Journaling Help Relieve Stress and Anxiety

Did you know that keeping a journal is a great tool for relieving anxiety and stress?  According to Verywellmind.com, “Journaling can relieve stress by helping you work through your anxious feelings.”

By journaling, you can minimize thoughts that may have you anxious.  Writing down what is causing you to stress may help you shift feelings of fear and hopelessness to empowerment and solution orientated thoughts.

Some tips on how to get started are:

  • Start journaling for five to 15 minutes – Too much time shouldn’t be spent on your journaling. Write about what is concerning you most.
  • If an event is currently causing difficulty write it down in detail. If it is not a current issue, but something that has been plaguing you, focus on writing that you worry about the “what could possibly happen” factor.
  • Write how these feelings affect you in your daily life
  • Once your thoughts are arranged, you can write about what positive measures you can implement to help relive how you are feeling (i.e. meditation, exercise, support groups)

The hardest part about journaling is getting started.  Many people think that they don’t have the time to journal, but if you have the time to fret, you have the time to put pencil to paper and work on feeling better!

For more tips on how to benefit from journaling visit – www.verywellmind.com

 

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.

Borderline Personality Disorder

According to the National Institute of Mental Health (NIMH), borderline personality disorder is a mental illness marked by an ongoing pattern of varying moods, perceptions of self-image, and behavior. These symptoms often result in impulsive actions and problems in relationships. People with borderline personality disorder may experience intense episodes of anger, depression, and anxiety that can last from a few hours to days.

People with borderline personality disorder may also experience:

  • Mood swings
  • Uncertainty about how they see themselves and their role in the world
  • Quickly changing their interests and values
  • Viewing things in extremes
  • Having intense and unstable relationships
  • Impulsive or dangerous behaviors
  • Self-harming behavior, such as cutting
  • Recurring thoughts or threats of suicide
  • Feelings of emptiness
  • Issues controlling anger
  • Difficulty trusting others
  • Feeling cutoff from themselves and others

While the cause of borderline personality disorder isn’t clear, researchers believe that genetics, brain function, the environment, as well as cultural and social factors may increase the likelihood of developing the disorder.

That being said, being in an “at risk” group does not mean that you will develop the disorder.  Likewise, you may not fall into any of the groups but that doesn’t preclude you from developing the disorder.

There are numerous recommended treatments for borderline personality disorder including, but not limited to psychotherapy, medications, as well as group, peer and family support groups.

If you or someone you know is exhibiting the traits of having a borderline personality disorder and would like to speak to a licensed mental health professional, please call Jamaica Hospital Medical Center’s Department of Mental Health at 718-206-7160 to schedule an appointment

For more information on borderline personality disorder visit, https://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml

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.

Tips to Keep Teen Stress in Check

Teacher helping a trouble teenager

As you may imagine, school-related stress is rated the most common source of stress for American teens. This was discovered through The American Psychological Association’s (APA) Stress in America report. The Stress in American report found that American teens report stress levels higher than what they believe is healthy (5.8 on a 10-point scale, healthy level rated 3.9). Although teens reported significant stress, they appear to be poor judges of the impact stress can have on their health and mental health.

According to the APA Stress in America report, forty-two percent of teens indicated not doing anything to cope with their stress or not knowing what to do to manage it. Here are suggested tips from the APA on how to manage stress:

  1. Engage in physical activity.
  2. Do things that make you happy.
  3. Talk to someone.
  4. Get some sleep.

Parents would be surprised by the amount of stress and anxiety teens are dealing with involving social media. Teens are losing sleep worrying about tests, projects that are due, teams going to competitions, friendship dramas, and break ups. Parents can identity signs of stress and help their teen find a way to cope:

  • Help your teen monitor their schedule and activities.
  • Help teach your teen to identify the “stress signs.” These may include stomach pains, chest tightness, fast heartbeat, obsessive thoughts about being ready for things, and the inability to enjoy their day-to-day activities.
  • Practice what you preach. Parents should also limit their commitments and have more opportunities to talk with their children on a regular basis about school, friends and peer pressure.

 

If your teenager admits to being stressed, use the above tips to help manage stress. Jamaica Hospital’s Outpatient Mental Health Clinic offers special child and adolescent services. For more info, or to schedule an appointment, 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.

Is This Job Killing Me?

Nervous businesswoman pulling her hair out

Some workplace stress is normal, but excessive stress can interfere with productivity and impact your physical and emotional health. If you are feeling overwhelmed at work, you can lose confidence, and become irritable or withdrawn.

Health issues that can be caused by excessive stress are:

  • Heart disease
  • Asthma
  • Obesity
  • Diabetes
  • Headaches
  • Depression and anxiety
  • Gastrointestinal problems

How you manage your stress is one way of avoiding the negative health impacts of a stressful lifestyle. By realizing that not being able to control everything in your work environment does not mean you are powerless, you can find ways to manage your workplace stress without rethinking career ambitions.

Some quick, office stress relievers are:

  • Take a short walk
  • Drink water
  • Stretch
  • Make a plan or to-do list
  • Unplug from email and social media
  • Breathe
  • Act rather than react
  • Ask for help

One of the best ways of coping with stress is to identify what your stress triggers are. Once you have identified them, you can find ways to resolve them.

If using these steps to relieve your feelings of being stressed is not helping, you may want to consult a mental health professional at Jamaica Hospital Medical Center’s Department of Mental Health and Psychiatry. Call 718-206-7160 for 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.

Sibling Rivalry

Sibling_RivalrySibling rivalry is defined as a type of competition or animosity among siblings, whether blood related or not.

The sibling bond can be complicated since they generally spend more time together during childhood than they do with their parents. Sibling rivalry can be particularly intense when the children are very close in age and of the same gender.

Although bickering between siblings can drive parents crazy, sibling rivalry is a normal part of growing up.  Parents must create an equal balance of when to step in and play referee and when to let their kids work out their problems themselves.

Below are some of the common reasons for sibling rivalry:

  • Attention – Children are always vying for their parents’ attention. These days, parents are busier than ever and their attention on work or a new baby may cause less of a focus on each child.  Children may act out and misbehave to get attention.
  • Sharing – With limited resources, siblings may have to share at least some of their possessions. Game systems, iPad’s or electronic items can be hard to share and require children to compartmentalize their time on each item.
  • Personality Differences – Some children are headstrong while others can be quieter and more introverted. Differences in temperament can lead to clashes.
  • Fairness issues – Children are always demanding fairness and equality and fighting for what they perceive are their natural born rights. A younger sibling might complain that her older sister gets to go to a concert and she has to stay home, while the older sister whines that she has to baby-sit her little sister instead of going out with her friends.

Your responsibility as a parent is to help your kids to learn to manage the feelings that come along with sibling rivalry. So, how can you stop the bickering? As a parent, you may have to indulge each child once in a while.  Make the effort to spend “just us” time with your children and speak to them about tolerance and the benefits of being part of a family.  Each child has their own unique strong points. Identify how those positive characteristics could cause them to become a role model to the other siblings.

Be sure not to confuse bullying with normal sibling rivalry.  If one of your children bullies his/her siblings and has to be the boss and control the others to the point of getting physical, you will have to determine the difference, especially if there is aggression over and above the bickering.

In most instances of sibling rivalry, approach all situations with a level head and a firm stance on a standard of respect that is expected in your home.  Live the model you would like them to emulate.

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.

YIKES! Did I Really Do That?

droppedchild

 

Whether you’ve accidently tripped over a child underfoot or walked into a doorway with your infant’s head in the lead, you’ve caused a child an accidental injury.

When you accidentally hurt your child, you may feel intense shame, even panic and a sense of self-loathing or blame.  Even when your head clears, you may feel like you are a terrible parent.

These feelings are confusing.  You may ask yourself, “How could I have done that?”  The truth is, children and accidents are synonymous; even the preventable ones.

It is hard to see your child in pain and even harder to know that it is your fault. Your mind will replay the event in your head many times while you are slowly accepting what happened.

In most cases, the child is not badly hurt and you can find comfort in realizing that while accidents happen, most of them are not serious and your child is not quite as fragile as you think.

As you tell the story of what happened to your child, you will realize that most people understand and, in fact, it has happened to the best of parents.  At this point, you will find it easier to forgive yourself.  Still, you and your child suffered a trauma and it will take time for both of you to heal.

Some reactions to trauma are:

  • Feeling numb or disconnected
  • Insomnia
  • Nightmares
  • Flashbacks
  • Sadness or depression

During this time, you should be kind to yourself and keep in mind that you will not always feel this way. After the guilt lessens, you should experience acceptance.

If you are having difficulty coping and the reactions have become prolonged symptoms, you may be experiencing a response to trauma called Post Traumatic Stress Disorder (PTSD).  If the negative feelings persist, you shouldn’t be afraid to ask for help from a physician, counselor, clergy member, friend and family member.

Jamaica Hospital Medical Center’s Mental Health Center is centrally located and has convenient hours.  To make an appointment with a physician or licensed professional, 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.