The 3 Different Types of Stress and How Each Can Affect Our Health

Posted on May 18, 2021 by Xavia Malcolm

Stress is a feeling of emotional or physical tension. It is our body’s normal response to pressure, change or other stressors.

While it is normal for us to experience stress, there are times when it occurs too frequently and poses a threat to our health.

According to the American Psychological Association (APA), there are three different types of stress, and each can take a toll on our bodies. They include:

Acute stress – We experience acute stress multiple times each day. It can occur when there is a challenge, a perceived threat or when something unexpected happens- examples include: giving a speech, arguing with a spouse, getting stuck in traffic or getting a speeding ticket. The symptoms of acute stress develop quickly and do not last long. Some people may experience irritability, anxiety, sweating, headaches, stomach pains or a rapid heartbeat.
Episodic acute stress – This occurs when we frequently experience acute stress and can develop as a result of taking on too much responsibility or being overburdened. Type “A” personalities or people who worry constantly are more prone to experience this type of stress. The symptoms of episodic acute stress are similar to those of acute stress; however, they occur more often and accumulate. If not managed properly, symptoms can lead to serious health problems such as clinical depression or heart disease.
Chronic stress- The APA defines chronic stress as stress that is constant and persists over an extended period of time. It is the most harmful type of stress to our overall health. Chronic stress can be caused by poverty, abuse of any kind, a poor work environment, having a dysfunctional marriage or family, or substance abuse. Symptoms of chronic stress can become overwhelming or debilitating. Some people may experience fatigue, changes in appetite, difficulty sleeping, headaches or difficulty concentrating. Chronic stress left untreated for a long period of time can have serious consequences and lead to health problems such as insomnia, obesity, heart disease, hypertension or diabetes.

Our bodies can handle stress for a short period of time. It is not equipped to cope with long-term or chronic stress. Seeking healthy ways to manage stress can help us to avoid the risk of developing health complications. If you are experiencing long-term symptoms of stress, you should speak with a doctor or mental health provider immediately.

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.

Zoom Fatigue

Posted on April 13, 2021 by Xavia Malcolm

Statistics show that hundreds of millions of people are utilizing video conferencing applications such as Zoom to interact each day.

While this has become a new normal, it is important to note that spending a significant amount of time on these platforms can potentially lead to “Zoom Fatigue.”

The term Zoom fatigue is used to describe tiredness or burnout resulting from the excessive use of any video-conferencing application. According to experts, people are likely to feel exhausted or tense after prolonged use of these platforms, and here are the reasons why:

Video chats greatly reduce mobility (Being confined in the same space for an extended amount of time can be tiring).
Our brains need to work harder to process social cues which otherwise would be easier to interpret in person.
We are unable to break eye contact. There is an excessive amount of direct eye gaze as we focus more intently to absorb information.
Constantly seeing our own faces in real-time can be stressful-this is likened to always having a mirror in front of us. Some individuals may become increasingly aware of the way they look and worry more about presenting themselves well.

There are a few ways to alleviate Zoom fatigue, experts recommend:

Limiting video calls to those that are necessary
Turning your video off if it is not mandatory
Minimizing or having your screen off to the side instead of straight ahead
Hiding self-view
Taking breaks when you can
Building in breaks or transition periods in meetings so that participants can take a moment to refresh
Taking a digital detox from your computer, cellphones and other devices

Lastly, it is important to establish a daily routine that helps you to find a healthy balance in life. Too much stress or fatigue can prove disadvantageous to our physical, mental and social health.

Learn The Facts About Kleptomania

Posted on March 26, 2021 by Michael Hinck

Kleptomania is a rare but serious mental health disorder characterized by the recurrent inability to resist urges to steal items. If left untreated, kleptomania can result in severe emotional, family, work, legal and financial problems.

Kleptomania is a type of impulse control disorder. Those with impulse control disorders have difficulty resisting the temptation to perform an act that is excessive or harmful to themselves or others. In fact, unlike typical shoplifters, people with kleptomania don’t compulsively steal for personal gain. They steal simply because the urge is so powerful that they cannot resist it.

In addition to the inability to resist the urge to steal, those with kleptomania may also exhibit the following symptoms:

Feeling of increased tension, anxiety or arousal leading up to the theft
Feeling pleasure, relief or gratification while stealing
Feeling terrible guilt, remorse, self-loathing, shame or fear of arrest after the theft
Return of the urges and a repetition of the cycle

Episodes of kleptomania generally occur spontaneously, usually without planning and without help or collaboration from another person. Most people with kleptomania steal from public places, such as stores and supermarkets. Often, the stolen items have no value to the person with kleptomania and the person can afford to buy them. Urges to steal may come and go or may occur with greater or lesser intensity over the course of time.

While the cause of kleptomania is not known, there are several theories suggest that changes in the brain may be at the root of kleptomania, including:

Low serotonin levels.Serotonin is a naturally occurring brain chemical that helps regulate moods and emotions. Low levels of serotonin are common in people prone to impulsive behaviors.
Addictive disorders.Stealing may cause the release of dopamine (another neurotransmitter). Dopamine causes pleasurable feelings, and some people seek this rewarding feeling again and again.
The brain’s opioid system.Urges are regulated by the brain’s opioid system. An imbalance in this system could make it harder to resist urges.

Treatments are available that may help to minimize the urge kleptomaniacs have to steal and live without addiction and shame. This typically involves medications and psychotherapy, or both, sometimes along with self-help groups. However, there is no standard kleptomania treatment, and researchers are still trying to understand what may work best.

If you or someone you love is experiencing symptoms consistent with kleptomania, xx Hospital’s Department of Mental Health and Addiction Services can help. To make an appointment please call 718-670-5562.

Acute Stress Disorder

Posted on February 2, 2021 by Xavia Malcolm

Acute stress disorder (ASD) is a trauma and stress-related disorder that typically develops within three days to one month after a traumatic event. Examples of such events are physical or sexual assault, the sudden death of a loved one, a car accident, a natural disaster or receiving a life-threatening medical diagnosis. According to the American Psychiatric Association, “An estimated 13 to 21 percent of survivors of car accidents develop acute stress disorder and between 20 and 50 percent of survivors of assault, rape or mass shootings develop it.”

Symptoms of ASD generally last up to one month after the traumatic event, and may include:

Anxiety
Intrusive thoughts and memories
Nightmares
Avoidance of people, places or things that trigger memories
Dissociation
Changes in mood
Reckless or destructive behavior
Heart palpitations, difficulty breathing, abdominal pains or any other physical symptoms that can be caused by elevated stress

If symptoms persist beyond one month, they are often indicative of post-traumatic stress disorder (PTSD).

Anyone can develop ASD after experiencing a traumatic event. People with ASD are at an increased risk for developing PTSD, this is why it’s important to receive treatment as soon as possible to prevent this progression.

ASD can be diagnosed after a person has experienced symptoms for at least three days. A mental health provider will perform a series of examinations or evaluations to rule out causes such as health problems, substance abuse, medication side effects or other psychiatric disorders.

Treatment for ASD can involve cognitive behavioral therapy, medication or exposure-based therapies.

To schedule an appointment with a mental health professional at Flushing Hospital Medical Center, please call (718) 670-5562.

What Is Antisocial Personality Disorder?

Posted on January 26, 2021 by Xavia Malcolm

Antisocial personality disorder (ASPD) is a personality disorder characterized by a long-term pattern of irresponsible, impulsive or often criminal behaviors.

A person with ASPD is typically deceitful, manipulative or reckless. They consistently show no regard for the law, what is right or wrong, or the rights or feelings of others. Someone with ASPD generally has no guilt or remorse for the harm they have caused others.

Individuals with this disorder can also be very charming or charismatic, traits they often use to manipulate people.

Additional signs and symptoms of ASPD can include having a history of:

Lying persistently
Having poor or abusive relationships
Having difficulty sustaining long-term relationships
Not caring for the safety of others or oneself
Never accepting responsibility and blaming others for one’s problems
Failing to fulfill money, work or social duties
Repeatedly breaking the law
Abusing drugs or alcohol
Being irritable or aggressive

It is not known why some people develop antisocial personality disorder and others do not. Genetic factors and traumatic childhood experiences such as child abuse are believed to play a role. Men are more likely to develop the disorder than women.

Antisocial personality disorder is diagnosed by a mental health provider who conducts a psychological evaluation that explores behavior patterns, family history, relationship patterns, medical history as well as symptoms listed in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

If you or someone you know is exhibiting symptoms of ASPD, do not hesitate to get help. You can schedule an appointment with a mental health professional at Flushing Hospital Medical Center, by calling (718) 670-5562.

Dealing With Holiday Stress

Posted on December 20, 2020 by Flushing Hospital

During the holiday season, many of us struggle to complete an extensive list of tasks in what often feels like very little time. We run rampant decorating our homes, attending social gatherings, shopping for loved ones, volunteering, traveling or cooking. These activities are often added to our already busy schedules, which can make us feel overwhelmed.

Contrary to what we may think, these activities which should make us feel happy can actually increase our stress levels.

Although there are various factors such as unrealistic expectations or financial strain that contribute to holiday stress, finding ways to avoid stressors or minimize their effects is very important. If stress is not managed well, it can have a significantly negative impact on our health.

Mental health professionals at Flushing Hospital Medical Center offers five tips to help you cope with holiday stress and maintain good mental health:

Set realistic goals– Unrealistic goals often equal added pressure and expectations that cannot be met. If these goals are not met, they can lead to negative feelings such as inadequacy or hopelessness.
Know when to take a moment for yourself (Take a break) – We are often pulled in multiple directions during this time of the year. Know when to take a breather to decompress and clear your mind.
Communicate- The added pressures of the holidays are clearly overwhelming and one of the ways that people sometimes deal with this is to isolate themselves. This is not recommended; instead, reach out to loved ones or a trained mental health professional to communicate how you feel.
Do not neglect healthy habits– Taking good care of your health can help combat holiday stress. Moderating your food intake, fitting in a few minutes of exercise and getting adequate amounts of sleep can be profoundly beneficial for your health. Additionally, maintaining a healthy daily routine can help take your mind off holiday demands.
Ask for help- We live in a time where multitasking has become the norm but if you begin to feel overwhelmed, ask for help. Soliciting the help of friends or family can alleviate some of the holiday pressure. The holidays can also trigger depression; if you are experiencing symptoms of depression ask for help from loved ones or seek the assistance of a mental health professional.

The holiday season can be overwhelming; however, by applying these helpful tips you can take the steps needed to minimize stress and make this time of year more enjoyable. If you find that you continue to experience elevated levels of stress or symptoms of depression, it is recommended that you seek the help of mental health professional immediately.

To schedule an appointment with the Mental Health Clinic at Flushing Hospital Medical Center, please call 718-670-5562.

Understanding Depression

Posted on November 4, 2020 by Michael Hinck

Depression is a mood disorder that makes you feel constant sadness or lack of interest in life. It can affect how a person feels, thinks and behaves. It can lead to a variety of emotional and physical problems. Those living with depression have trouble doing normal day-to-day activities, and sometimes may feel as if life isn’t worth living.

While everyone experiences feelings of sadness at some point in their life, those with clinical depression have prolonged periods of feeling helpless, hopeless, and worthless. These feelings are not always tied to a specific incident and can last for many days to weeks. Depression can occur in children, adolescents and adults. Although someone can experience depression only once in their life, most who suffer with depression experience recurring episodes.

Some of the symptoms of depression include:

Feelings of sadness, tearfulness, emptiness or hopelessness
Angry outbursts, irritability or frustration, even over small matters
Loss of interest or pleasure in most or all normal activities, such as sex, hobbies or sports
Sleep disturbances, including insomnia or sleeping too much
Tiredness and lack of energy, so even small tasks take extra effort
Reduced appetite and weight loss or increased cravings for food and weight gain
Anxiety, agitation or restlessness
Slowed thinking, speaking or body movements
Feelings of worthlessness or guilt, fixating on past failures or self-blame
Trouble thinking, concentrating, making decisions and remembering things
Frequent or recurrent thoughts of death, suicidal thoughts, suicide attempts or suicide
Unexplained physical problems, such as back pain or headaches

For many people with depression, symptoms usually are severe enough to cause noticeable problems in day-to-day activities, such as work, school, social activities or relationships with others. Some people may feel generally miserable or unhappy without really knowing why.

There is no known singular cause for depression. Instead, health professionals point to a combination of contributing factors including a person’s brain structure and chemistry. Hormone and genetics are also believed to play a role.

Help is available for those with depression. A mental health professional can conduct an evaluation and outline a course of treatment based on the patient’s individual needs. Treatment may include:

Medications – These can include a combination of antidepressants, mood stabilizers, antipsychotic, anti-anxiety or stimulant medications
Psychotherapy – Talking to a mental health professional on a regular basis about your depression and other issues can help treat the symptoms.
Electroconvulsive therapy – This brain stimulation therapy passes electric currents through your brain to help your neurotransmitters work better.
Transcranial magnetic stimulation – This treatment uses a coil to send magnetic pulses through your brain to help stimulate nerve cells that regulate mood.

Some with depression may experience thoughts of hurting themselves or others. If someone you know is depressed and you think they may hurt themselves or attempt suicide, call 911immediately.

OCD and COVID-19

Posted on October 20, 2020 by Xavia Malcolm

Obsessive Compulsive Disorder (OCD) is a chronic mental health condition that is characterized by unreasonable thoughts or obsessions that lead to repetitive behaviors(compulsions) such as excessive handwashing.

For many living with OCD, the stress of the COVID-19 pandemic has greatly impacted their mental health.

The threat of being infected with the virus and potentially becoming ill have presented certain challenges and in some cases exacerbated symptoms.

Stress and anxiety caused by the pandemic may result in the worsening of the following OCD symptoms:

Fear of contamination (Being afraid to touch objects other people have touched, or being afraid to touch others)
Excessive hand washing or showering
Excessively cleaning household items or other objects
Compulsive hoarding
Persistent unwanted or intrusive thoughts
Constantly checking that nothing terrible has happened
Difficulty dealing with uncertainty

According to the International OCD Foundation, there are measures that those living with OCD can apply to help them navigate this challenging time; these include:

Give yourself permission to set a basic safety plan based on the recommendations of trusted health organizations, and do not add to it.
Wash your hands with soap and water for 20 seconds after being outside or in public, before eating, after going to the bathroom, and after you’ve coughed/sneezed/blown your nose. If soap and water are not available to you, use hand sanitizer that contains at least 60% alcohol.
If you want to do more than this, pick a person to help you figure out what might be a reasonable and rational safety measure to take.
Remind yourself that no one can protect themselves “perfectly” from COVID-19, and no one expects you to. Times like these call for using your common sense instead of going to perfectionistic extremes.
Be mindful that your OCD may take advantage of COVID-19 fears by telling you that you might have infected someone or that you are going to infect someone in the future, whether accidentally or on purpose.
If you’re noticing these intrusive thoughts, or that you’re doing compulsions related to these thoughts, check in with your therapist and let them know how your symptoms might have changed. They can work with you to come up with new exposures and/or homework activities to help contain them.

If you are struggling with the symptoms of OCD or other mental health conditions please reach out to a mental health professional for assistance.

To schedule an appointment with a mental health professional at Flushing Hospital Medical Center, please call 718-670-5316.

Getting Help for Mental Health Issues is Nothing to be Ashamed Of

Posted on October 4, 2020 by Michael Hinck

Mental illness affects millions of Americans, yet not surprisingly, many of those who need help do not receive it. There are many reasons why – it could be due to limited availability of services, or a strong distrust of others, or those who are mentally ill might have such a sense of hopelessness that they do not seek care.

While all of these are factors as to why someone doesn’t seek support, perhaps the biggest single reason is a sense of fear and shame associated with admitting help is needed. This sense of shame is very common and it is only reinforced by society, which has attached stigmas to mental illness. The beliefs the public has about mental illness leads those who need help to avoid it so they are not labeled as “crazy” and have their condition negatively affect their personal relationships and career goals.

Getting society to overcome the stigmas associated with mental illness is the key to having more individuals come forward, but unfortunately negative attitudes and beliefs toward people who have a mental health condition are common. These stigmas can lead to obvious and direct discrimination, such as someone making a negative remark about mental illness or it may be unintentional or subtle, such as someone avoiding an individual because they assume they could be unstable, violent or dangerous due to mental illness.

Those with mental illness should never be ashamed of their condition and here are some reasons why:

According to the World Health Organization, one out of four people will experience mental health problems at some point in their lives.
Shame is pretty much guaranteed to make things worse. Feelings of shame are proven to have detrimental effects on our mental and physical health
Mental illness is no one’s fault. No one asks to have a mental illness and it is definitely not a choice we make.
We’re not ashamed when our bodies get sick, so why should we be ashamed when our minds aren’t in top form.
There is no normal – our minds are complex things and no single brain is the same
Our mental health doesn’t define us. Don’t let your mental illness become who you are, it is just one aspect of you.

It’s time to speak out against the stigmas associated with mental illness and reframe the way we see it. Getting help is not a sign of weakness. It is a sign of strength.

Flushing Hospital advises anyone who feels they need help to get it. Don’t let the fear of being labeled with a mental illness prevent you from seeking help. Treatment can provide relief and help you in life.

To make an appointment at Flushing Hospital’s Outpatient Mental Health Center, please call 718-670-5522.

Body-Focused Repetitive Behaviors

Posted on February 18, 2020 by Xavia Malcolm

Body-focused repetitive behaviors (BFRBs) is a general term used to describe a set of disorders that are categorized by chronic self-grooming behaviors that result in damage to the body. The most common BFRBs include continuous nail-biting, compulsive hair pulling and skin picking. Other body-focused repetitive behaviors are compulsive nose-picking, teeth grinding, lip biting, knuckle cracking and scab picking.

The exact cause of BFRBs is unknown; however, it is believed that these behaviors are related to impulse control disorders, anxiety disorders, and obsessive-compulsive disorder.

Unlike individuals with self- injury disorders, those with BFRBs typically do not intend to harm themselves and often make repeated attempts to reduce or stop the behaviors.

Body-focused repetitive behaviors are very difficult to control and in addition to causing physical harm to the body, can lead to severe emotional distress and the functional impairment of one’s life. Therefore, it is very important to manage BFRBs.

Management for BFRBs can include cognitive behavioral therapy, medication or doctor-recommended supplements such as N-acetylcysteine.

If you’re struggling with body-focused repetitive behaviors Flushing Hospital Medical Center can provide you with high-quality mental health services and support. To schedule an appointment at our outpatient psychiatry clinic, please call (718) 670-5562.