Dealing with Loss During the Holiday Season

The holiday season is a time filled with joy and happiness. But it can also be full of sadness and grief, especially when you are struggling with the loss of a loved one.  

It can be very challenging to deal with grief during the holiday season, as seasonal events and holiday traditions can serve as a reminder of what has been lost, which can magnify a person’s sense of loss and sorrow. The happiness of others can make those who are grieving feel isolated and alone.  

However, seasonal events and holiday traditions can also serve as comforting rituals that allow those who are grieving an opportunity to connect with family and friends, focus on cherished memories, and try to recapture their sense of joy.  

If you are mourning the loss of loved ones this holiday season, here are some ways to help cope with your grief: 

  • Do what feels right for you, as you are not obligated to participate in any activities that don’t feel doable. Create realistic expectations for yourself and others, but it is important to be gentle and kind to yourself. However, holiday activities could be a good distraction that brings joyful feelings and good memories.  
  • Accept whatever you are feeling. Everyone grieves and mourns differently. Some people may try to avoid the pain and sad feelings, while others may feel every emotion. Some people may feel bad if they aren’t up to enjoying the holiday, and others may feel guilty because they are feeling joyful. A person may cycle through these feelings throughout the season.  
  • Get support for your emotions and grief. Talking with family and friends about your emotions and mental health needs. It is important to be honest about how you would like to do things this year. If you would like to talk about those who have passed, then do so, and let others know that it is okay. If you are participating in a holiday activity, let people know that you may bow out quickly if it becomes too much for you, and if possible, have a friend there to support you.  
  • Put the focus on children in the family. Many of the activities we participate in during the holidays place special attention on children, and it may be helpful to focus on them during this difficult time. It is important to recognize that the choices you make in regard to how you get through the holidays may affect the children in the family. They may not understand why you don’t want to join family festivities if you withdraw. If you participate in activities that are important to them, you could allow yourself to feel their joy and excuse yourself when you have reached your limit. 
  • Sometimes, the anticipation of the holiday is worse than the actual holiday itself. Planning comforting activities ahead of time to give you something to look forward to, instead of building up the anxiety of the pain that the holiday could bring. It is important to make sure to include breaks for quiet grounding time and rest in your plans. An emotion like grief can drain your energy, so you may feel worn out more easily than usual. Add music, rest, meditation, prayer, rest, journaling, a walk, a comforting movie, and other downtime to your holiday activities.  
  • In moments of grief and loss, we can feel paralyzed by the intense emotions such as sadness, anger, or resentment, and sometimes relief can be found by giving to others. Focusing on others instead of yourself and taking action that makes a difference can help broaden our perspectives. Honor a loved one that you’ve lost by donating in their name to a charity or cause that they cherished, or buy something that symbolizes them or what you shared to donate to a family in need. You can also try volunteering to help people in a way that is related to what caused the pain you’re feeling. Some examples include: 
  • If you have lost someone to suicide, you can volunteer for a depression or suicide hotline 
  • If a hospital or nursing home took good care of your loved one, bring holiday gift baskets and cards for the staff 
  • If you were a caregiver for your loved one who has passed, you know how hard it is to do caregiving during the holidays. Consider supporting a caregiver you know with a gift, a meal, or some practical help 
  • It can be helpful to participate in holiday rituals that acknowledge and honor the memory of someone who has passed, especially if it relates directly to their interests. Some ideas include: 
  • Light candles 
  • Talk or write about the person on social media 
  • Donate children’s toys or books 
  • Dedicate a prayer or religious service to the loved one’s memory 
  • Plant a tree in memory of the deceased in your own yard or in a forest 
  • Make a card or write a holiday letter with the person’s picture 
  • It is important not to hesitate to ask for help or accept help and support when it is offered to you. Let others host, cook, or handle the organization of activities, so you don’t have to take on everything yourself. Others can help you with decorating, shopping, shipping packages or cards, wrapping gifts, driving you to any family gatherings and parties, or getting your home ready for visitors. 
  • Losing loved ones that you have celebrated with for a long time can make it feel like the yearly celebrations will never be the same again. In some ways, they won’t be the same, and accepting this will help you manage your expectations. It is important to remember that different isn’t always bad. If it is possible, embrace the difference and acknowledge that there can still be joy in your life. Starting new activities that don’t have specific memories tied to a loved one may make it easier. Activities that may create new memories could include: 
  • Holding a virtual family gathering 
  • Planning a family movie night 
  • Try a new recipe for the holiday menu 
  • Having a new meal delivered from a grocery store or restaurant 
  • Volunteer to serve meals at a shelter for people without homes 
  • If you feel that participating in holiday activities will be too much for you and you would like to withdraw, let your family and friends know before doing so. However, plan comforting alternative activities for yourself and let someone know what you will be doing. It is a good idea to make sure someone checks in with you regularly, especially on the actual holiday. Grieving is something that is very personal. No one can tell you how to grieve or how long it may take. Life without a loved one who has passed away will never be the same, but you will get through this. 

Losing a cherished loved one is always difficult. Celebrating birthdays, holidays, or any happy moments and milestones without a loved one who has passed away can put a damper on observing them. When participating in holiday activities and celebrations, remember the good times you shared with them. It is also important to note that there is no specific way to grieve because everyone grieves differently. There is also no timeline for healing. Take time for yourself when you need to, and ask for help and support when you need it.  

If you or a loved one is struggling with a loss, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area.  

You can also call or text the 988 Lifeline to speak with a trained live agent. 

If you or a loved one 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.

Foods Rich In Magnesium

Magnesium is a mineral that can be found in various foods. It helps support more than 300 different chemical processes throughout the human body, such as: 

  • Muscle function 
  • Regulating blood pressure and blood sugar levels 
  • Promoting energy production 
  • Nerve function and bone health 
  • Mental health 

When eating foods containing magnesium, experts recommend consuming between 310 and 420 milligrams (mg) of magnesium per day, depending on age and sex: 

  • Babies 6 months and younger: 30 mg 
  • 7 to 12 months: 75 mg 
  • 1 to 3 years old: 80 mg 
  • 4 to 8 years: 130 mg 
  • 9 to 13 years 240 mg 
  • 14 to 18 years (male): 410 mg 
  • 14 to 18 years (female): 360 mg 
  • 19 to 30 years (male): 400 mg 
  • 19 to 30 years (female): 310 mg 
  • 31 and older male: 420 mg 
  • 31 and older female: 320 mg 

Pregnant women should get an additional 40 mg of magnesium per day. Some, but not all, prenatal vitamins include magnesium.  

Many foods contain magnesium, including: 

  • Nuts and seeds: 
    • Roasted almonds- 1oz = 80 mg of magnesium 
    • Roasted cashews- 1oz = 72 mg of magnesium 
    • Whole flaxseeds- 1 Tbsp = 40 mg of magnesium 
    • Dry roasted peanuts- 1 oz = 49 mg of magnesium 
    • Hulled and roasted pumpkin seeds- 1 oz = 15 mg of magnesium 
    • Chia seeds- 1oz = 111 mg magnesium 
  • Legumes: 
    • Boiled black beans- ½ cup = 60 mg of magnesium 
    • Cooked and prepared edamame- ½ cup = 50 mg of magnesium 
    • Cooked lima beans- ½ cup = 40 mg of magnesium 
  • Fiber-rich whole grains: 
    • Cooked quinoa- ½ cup = 60 mg of magnesium 
    • Plain, unfrosted shredded wheat- 1 cup = 56 mg of magnesium 
  • Low-fat dairy products: 
    • Nonfat milk- 1 cup = 24 to 27 mg of magnesium 
    • Plain low-fat yogurt- 8oz = 42 mg of magnesium 
  • Greens: 
    • Cooked spinach- ½ cup = 78 mg of magnesium 
    • Cooked Swiss chard- ½ cup = 75 mg of magnesium 
    • Collard greens- ½ cup = 25 mg of magnesium 
  • Fruit: 
    • One whole avocado = 58 mg of magnesium  
    • One medium banana = 32 mg of magnesium 
    • One small papaya = 33 mg of magnesium 
    • Blackberries- 1 cup = 29 mg of magnesium 
  • Vegetables: 
    • Green peas- ½ cup = 31 mg of magnesium 
    • Sweet corn- ½ cup = 27 mg of magnesium 
    • One medium potato with skin on = 48 mg of magnesium 
  • Dark chocolate that is 70%-85% cocoa- 1oz = 64 mg of magnesium 
  • 2 liters of water- up to 240 mg of magnesium 

If you have a magnesium deficiency, a healthcare provider may suggest magnesium supplements. When magnesium is combined with other substances, it can help bring out specific benefits, including: 

  • Magnesium glycinate: helps promote sleep 
  • Magnesium citrate: helps digestion 
  • Magnesium oxide: an antacid and aid to relieve migraines 
  • Magnesium sulfate (Epsom salt): used as a muscle relaxant 

Eating a meal that contains magnesium-rich foods is the foundation of a healthy diet and is beneficial for your overall health.  

It is important to note that you should first speak with your doctor about making any changes to your diet and before taking any new supplements. To consult a physician about the best ways to get your daily amount of magnesium, you can schedule an appointment 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.

What is Misophonia?

Misophonia is a sensory condition that causes a person to have extreme sensitivity to specific sounds or stimuli, also known as triggers, resulting in them experiencing intense emotional, physical, and behavioral responses to those triggers.

The symptoms of misophonia revolve around how a person reacts to trigger sounds. The reactions are a part of the body’s natural “fight-or-flight” instincts.

When a person experiences an emotional reaction to a trigger, the feelings can be intense or overwhelming. These feelings escalate rapidly, causing irritation or annoyance to quickly turn into anger or rage. Emotional reactions can include:

· Anger

· Anxiety

· Disgust

· Fear

· Irritation

If a person experiences a physical reaction to a trigger, the self-protective process automatically kicks in, similarly to what happens when a person is in a dangerous or frightening situation. Physical reactions can include:

· Increase in blood pressure

· Chest pressure or tightness

· Goosebumps

· Increase in heart rate

· Sweating

When a person experiences a behavioral reaction to a trigger, the reaction is usually impulse- or instinct-driven. This means that a person may not have full control over those reactions. Violent reactions, towards either people or objects, are possible but not common. Behavioral reactions can include:

· Avoiding situations where trigger sounds can happen

· Leaving the area when a trigger sound happens

· Verbal or vocal reactions, such as talking or yelling at who/what made the sound

· Non-violent action to stop the sound

· Violent action to stop the sound

This phenomenon of misophonia affects people differently. Some people may only have one trigger that causes those responses. However, some people can have several trigger sounds.

Additionally, they can have responses that are more or less severe. Some may not be able to control the emotions they feel, but can control their responses. Others may not be able to control either, causing them to react impulsively. In the most severe cases, people may not be able to do certain things or be in specific environments.

There is research that shows that misophonia can affect anyone, but it seems to be more common in women. Estimates on how it affects people based on sex vary, ranging from 55%-83% of cases happening in women.

Misophonia can develop at any age. However, research indicates that it is most likely to develop in the early teenage years.

More research is necessary to determine if other factors can affect who is most likely to develop misophonia, but available research indicates misophonia may affect approximately one in five people during their lifetime.

Experts aren’t sure what causes misophonia. However, they suspect it may be a combination of factors, including:

· Brain structure differences

· Other conditions such as neurodivergence, mental health conditions, and hearing-related conditions or symptoms

· Family history or genetics

The American Psychiatric Association hasn’t recognized misophonia in the fifth and most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), yet. However, in 2022, an expert committee created a consensus definition for research, diagnosis, and treatment purposes.

A healthcare provider can recognize the most common features of misophonia by asking questions about what you experience. Based on your answers, they can tell you if you seem to have the condition. However, that is not the same as a formal diagnosis.

Although misophonia isn’t an officially recognized condition, that doesn’t mean its effects are untreatable. The similarities and links between misophonia and other conditions, such as obsessive-compulsive disorder (OCD) or post-traumatic stress disorder (PTSD), indicate that people with this condition may benefit from various forms of mental health therapy.

While mental health therapies can’t cure a condition such as misophonia, they can help with the following:

· Identifying triggers

· Finding ways to minimize or prevent trigger sounds

· Developing coping strategies and techniques to avoid impulsive reactions to trigger sounds

· Reducing sensitivity to existing triggers

Treatments for misophonia-related conditions, such as anxiety or OCD, can also help with misophonia symptoms. A healthcare provider is the best person to tell you if treating related conditions can help and what treatments they recommend.

Many people with sound sensitivity conditions, including misophonia, can adapt to or manage this condition using common items, technology, or adaptation techniques, including:

· Earplugs or noise-canceling headphones/earbuds

· Listening to something to keep the brain’s hearing-related processes focused on something other than listening for a trigger sound

· Noise generator sounds, especially white, pink, or brown noise sounds

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.

ADHD Awareness Month

October is ADHD Awareness Month, a time dedicated to raising awareness, challenging stigma, and celebrating the unique strengths that often come with a neurodivergent brain.

Adult attention-deficit/hyperactivity disorder (ADHD) is a mental health disorder that includes a combination of persistent problems, such as difficulty paying attention, hyperactivity, and impulsive behavior. Adult ADHD can lead to unstable relationships, poor work or school performance, low self-esteem, and other problems.

Some people with ADHD have fewer symptoms as they age, but some adults continue to have major symptoms that interfere with daily functioning. Adult ADHD symptoms include:

  • Impulsiveness
  • Disorganization and problems prioritizing
  • Poor time management skills
  • Problems focusing on a task
  • Trouble multitasking
  • Excessive activity or restlessness
  • Poor planning
  • Low frustration tolerance
  • Frequent mood swings
  • Problems following through and completing tasks
  • Hot temper
  • Trouble coping with stress

Symptoms can range from mild to severe. Many adults with ADHD aren’t aware they have it.

The exact cause of ADHD is not clear, but research efforts continue. Factors that may be involved in the development of ADHD include:

  • Genetics
  • Environment
  • Problems during development

Factors that may increase the risk of ADHD may include:

  • You have blood relatives, such as a parent or sibling, with ADHD or another mental health disorder
  • Your mother smoked, drank alcohol, or used drugs during pregnancy
  • As a child, you were exposed to environmental toxins such as lead, found mainly in paint and pipes in older buildings
  • You were born prematurely

Signs and symptoms of ADHD in adults can be difficult to spot. However, the core symptoms of ADHD start early in life, before the age of 12, continuing into adulthood, creating major problems.

There is no single test that can confirm an ADHD diagnosis. A diagnosis will likely include:

  • A physical exam
  • Questions about your current medical issues, personal and family medical history, and the history of your symptoms
  • ADHD rating scales or psychological tests

Standard treatments for ADHD in adults typically involve medication, education, skills training, and psychological counseling. A combination of these is often the most effective treatment as they can help manage many symptoms of ADHD, but they won’t cure it.

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.

Why Do We Eat When We Are Stressed?

Stress can impact our health in various ways, including our eating behaviors. It can influence our appetite, how much we eat, and the types of food we choose. Studies show that stressful events activate systems associated with metabolism, cognition, and reward.

When a person is stressed or overwhelmed, their body produces cortisol, the hormone that creates the body’s fight-or-flight response to help protect itself. When a person has elevated cortisol levels for a prolonged period of time, such as during repeated and constant stressors, this can lead to fat storage, weight gain, and increased consumption of foods that are energy-dense and high in sugar and fat. These types of foods are “comfort” foods that can seem like they are counteracting stress; however, they may contribute to a person’s stress-induced craving for those foods.

There are several ways to manage stress eating, including:

  • Practicing mindful eating
  • Finding healthier options for your sweet or savory cravings
  • Watching your portion sizes
  • Meditating
  • Exercising
  • Finding sources of social support

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.

Social Anxiety Disorder

Social anxiety disorder (SAD) is a medical condition that causes fear and anxiety when you are around people in social situations and causes an intense fear of being judged or watched by others.

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 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.

Menopause and Memory Issues

Menopause occurs when a person goes 12 consecutive months without a menstrual period. Memory lapses and trouble concentrating are common symptoms of menopause and even perimenopause. These menopausal symptoms are caused by the female sex hormone estrogen, which is necessary for maintaining sexual and reproductive health.  

Low estrogen levels can cause temporary bouts of brain fog and impact verbal memory, including the ability to recall words and names. However, this type of menopause-related forgetfulness isn’t the same as the early signs of dementia. 

Dementia is a general term that represents a group of diseases and illnesses that cause a decline in cognitive functioning to the point that it interferes with a person’s daily life and activities. It is caused by damage to the brain, affecting its nerve cells and destroying the brain’s ability to communicate with its various areas. 

The first signs of dementia are typically things like getting lost in familiar places or confusion about how to perform everyday activities, such as driving home from the store, and inability to remember names.  

Another key factor in someone affected by dementia is age. Alzheimer’s disease mainly affects people over the age of 65. Less than 10% of cases occur in people younger than 65, especially those without a family history of early-onset Alzheimer’s. 

Menopause, on the other hand, usually happens in your mid-40s to mid-50s, and perimenopause can start years earlier.  

Midlife “brain fog” can be frustrating and worrisome at times. However, with some extra care and attention to your health, it can be managed and controlled.  

Here are some ways to cope with menopausal memory issues: 

  • Get enough sleep 
  • Eat a balanced diet that includes brain-enhancing foods, such as cruciferous vegetables rich in color, to serve as antioxidants 
  • Create and stick to a regular exercise routine 
  • Stop multitasking, as it can drain the brain’s abilities 
  • Exercise your brain by doing activities that can improve your mental fitness, such as: 
  • Doing crossword puzzles, board games, or chess 
  • Going for a vigorous walk 
  • Reading a novel 
  • Taking up a new physical activity, such as ballroom dancing or boxing 
  • Meditating 
  • Starting a journal about positive experiences 
  • Learning a foreign language 
  • Trying tai chi 

If you are experiencing symptoms of menopausal memory loss, you can visit Jamaica Hospital Medical Center’s Women’s Health Center or contact us at 718-291-3276 to make 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.

Tips for Choosing a Therapist

When considering therapy, it is essential to know what you are seeking therapy for. Whether it is to restore a relationship, recover from trauma, adjust to a new life phase, improve your mental health, or just talk to someone, finding the right therapist is the first step.

After you figure out the reason or reasons why you are seeking therapy, it is important to consider the kind of therapist that best fits your mental health needs. Here are some tips for searching for a therapist:

  • Think about your goals ahead of time
  • Consult your insurance and finances
  • Ask someone you trust
  • Explore local resources
  • Use a reliable online database
  • Reach out to organizations that address your area of concern
  • Ask questions about the things that matter to you
  • Pay close attention to your own responses

Once you have found some prospective therapists, there are many questions to consider before and/or during your therapy sessions. These questions include:

  • Do I feel comfortable opening up to this person, and is there a strong connection? Studies show that this is crucial for achieving success in any therapy.
  • Is the therapist empathic and a good listener?
  • Does the therapist seem to have an agenda? Are they trying to have you commit too soon to a schedule before accurately assessing your motivation and the range of available options?
  • What are their credentials and level of expertise, and have they treated many others with your particular condition?
  • What types of therapy do they offer? They should be able to explain why one type is better than another for your particular condition.
  • How do they manage the fee/billing, and do they offer a sliding scale?
  • How do they collaborate with your psychiatrist or PCP, as this will greatly improve the quality of care?
  • Do they offer evening and weekend hours, and what is the recommended frequency of sessions?
  • Finally, what are the agreed-upon goals and endpoints for therapy?

Choosing a therapist is not an easy task. It is important to take your time before you make a decision, as it is not to be taken lightly. It is also important to note that you are not obligated to stay if a therapist isn’t the right fit. You can get free consultations through your insurance.

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.

Dementia

Dementia is a general term that represents a group of diseases and illnesses that cause the loss of cognitive functioning to the point that it interferes with a person’s daily life and activities.

Cognitive changes they may experience include:

  • Memory loss, usually noticed by someone else
  • Problems communicating or finding words
  • Trouble with visual and spatial abilities, such as getting lost while driving
  • Problems with reasoning or problem-solving
  • Trouble performing complex tasks
  • Trouble with planning and organizing
  • Poor coordination and control of movements
  • Confusion and disorientation

Some people with dementia can’t control their emotions, and they may also have psychological changes, such as:

  • Personality changes
  • Depression
  • Anxiety
  • Agitation
  • Inappropriate behavior
  • Hallucinations

Dementia is caused by damage to your brain, affecting its nerve cells and destroying the brain’s ability to communicate with its various areas. Dementia can also result from blocked blood flow to the brain, depriving it of oxygen and nutrients. Without oxygen and nutrients, brain tissue dies.

Progressive dementias get worse over time. Types of dementias that worsen and aren’t reversible include:

  • Alzheimer’s disease (the most common cause of dementia)
  • Vascular dementia
  • Lewy body dementia
  • Frontotemporal dementia
  • Mixed dementia

Other disorders linked to dementia include:

  • Huntington’s disease
  • Traumatic brain injury (TBI)
  • Creutzfeldt-Jakob disease
  • Parkinson’s disease

Some causes of dementia-like symptoms can be reversed with treatment, including:

  • Infections and immune disorders
  • Metabolic or endocrine problems
  • Low levels of certain nutrients
  • Medication side effects
  • Subdural bleeding
  • Brain tumors
  • Normal-pressure hydrocephalus

Many risk factors can contribute to dementia, including:

  • Age
  • Family history

A healthcare provider must recognize the pattern of loss of skills and function to be able to diagnose the cause of dementia. No single test can diagnose dementia, therefore, a series of tests may be conducted to determine a diagnosis. These tests include:

  • Cognitive and neuropsychological tests
  • Neurological evaluation
  • Brain scans
    • CT or MRI
    • PET scans
  • Laboratory tests
  • Psychiatric evaluation

Most types of dementia can’t be cured, but there are ways to manage your symptoms, including:

  • Medications
  • Therapies

If you are experiencing any of these symptoms, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001. If you are experiencing an emergency, call 911.

 

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.

Signs of High Stress

Stress is a natural human reaction that happens to everyone. Your body is built to react to stress in ways meant to protect you against threats from predators and other aggressors. These threats are rare today, however, that doesn’t mean that life is free of stress.

Stress responses help your body adjust to new situations. Stress can be positive by keeping you alert, motivated, and ready to avoid danger. However, stress becomes a problem when stressors continue without relief or periods of relaxation.

Stressors can be positive and negative; getting a new job or losing a job can cause stress. Other causes of stress include:

  • An illness or death of a loved one
  • Marriage, separation, or divorce
  • Financial issues
  • Moving into a new house
  • Going on vacation
  • Having a baby
  • Retiring

There are three main types of stress: acute, episodic acute, and chronic.

  • Acute stress- is a short-term stress that comes and goes quickly. It can be positive or negative. It is the feeling you get when you ride a rollercoaster or have a fight with a significant other. Everyone experiences acute stress from time to time.
  • Episodic acute stress- is when you experience acute stress regularly. With this type of stress, you don’t get the time you need to return to a calm, relaxed state. Episodic stress frequently affects people working in certain professions, such as healthcare providers.
  • Chronic stress- is long-term stress that can last for weeks or months. It can be caused by troubles in your marriage, issues at work, or financial problems. It is important to find ways to manage chronic stress because it can lead to health issues.

The body’s autonomic nervous system controls the heart rate, breathing, vision changes, and more. It also triggers the body’s “flight-or-fight” response as a way to react to stressful situations.

Having a continuous activation of this stress response can cause wear and tear on the body. It can cause you to develop stress symptoms that are physical, psychological, or behavioral.

Physical stress symptoms can include:

  • Aches and pains
  • Chest pain or the feeling of your heart racing
  • Exhaustion or insomnia
  • Headaches, dizziness, or shaking
  • High blood pressure
  • Muscle tension or jaw clenching
  • Stomach or digestive problems
  • Trouble having sex
  • A weakened immune system

Psychological stress symptoms can include:

  • Anxiety or irritability
  • Depression
  • Panic attacks
  • Sadness

Chronic stress can lead to several long-term issues that affect your immune, digestive, cardiovascular, and reproductive systems.

People with chronic stress try different things to cope. Some of these things can become habit-forming and can impact your health. Behavioral stress symptoms can include:

  • Alcohol use disorder
  • Gambling disorder
  • Overeating or developing an eating disorder
  • Participating compulsively in sex, shopping, or internet browsing
  • Smoking
  • Substance abuse disorder

It can be difficult to diagnose stress due to its subjectivity. It isn’t measurable with tests because only the person experiencing it can determine whether it is present and how severe it feels. A healthcare provider may use questionnaires to understand your stress and how it affects your life.

If you have chronic stress, your healthcare provider can evaluate symptoms that result from stress, such as diagnosing and treating high blood pressure.

Stress is something that can’t be avoided. However, you can prevent it from becoming overwhelming by practicing daily stress relief strategies, including the following:

  • Eating a healthy diet and getting regular exercise and sleep
  • Doing relaxation exercises such as yoga, deep breathing, massages, or meditation
  • Keeping a gratitude journal
  • Taking time for hobbies
  • Fostering healthy relationships and talking with your friends and family
  • Finding ways to include humor and laughter in your life
  • Volunteering in your community
  • Organizing and focusing on what you need to get done at home and work and removing unneeded tasks
  • Seeking professional counseling

Embracing mindfulness and learning to manage stress can reward you with peace of mind, fewer stressors and less anxiety, and a better quality of life. 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.