What is Panic Disorder?

Panic disorder is characterized by recurring, unexpected panic attacks over long periods of time. A panic attack is a sudden wave of intense fear coupled with physical reactions such as a rapid heart rate, shortness of breath, chest pain, or a headache; these symptoms appear despite the fact that no real, immediate danger is present. Many people may experience an occasional panic attack, but people with panic disorder experience these attacks more frequently than normal.

There is no specific known cause for panic disorder, but multiple factors may increase your risk of developing it, including:

  • Genetics
  • Continuous or extreme stress
  • Traumatic life events
  • Major or dramatic life changes
  • Changes in brain activity
  • Smoking
  • Excessive caffeine intake

Although the symptoms that accompany a panic attack are alarming and intense, they are not typically harmful or life-threatening. However, this can be difficult to remember or recognize when you are actively experiencing one. Additionally, even the possibility of having a panic attack (particularly for people with panic disorder, for whom attacks are more likely to occur) can have a detrimental effect on your life, potentially causing you to avoid certain situations and activities where panic attacks seem more likely to occur.

If you have experienced a recent panic attack, you should get medical treatment as soon as possible to prevent future attacks; this can help prevent panic disorder before it has a chance to develop. Lifestyle changes such as quitting smoking and getting regular exercise can also help prevent this condition.

Flushing Hospital Medical Center’s Psychiatric Department offers treatment for people at risk of experiencing panic attacks or developing panic disorder. To receive more information or to schedule an appointment, please call our outpatient psychiatric clinic at (718) 670-5562.

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.

World Mental Health Day

World Mental Health Day is celebrated annually on October 10th.  The observation was founded by The World Federation for Mental Health to raise awareness of mental health issues and mobilize resources for individuals who need support.

Each year, The World Federation for Mental Health creates a campaign to advocate for better mental health care and make it readily accessible for people worldwide. This year’s campaign theme is ‘Mental Health Is A Universal Right.’  It aims to promote and protect universal mental health as a basic human right for everyone. The World Federation for Mental Health also hopes to engage and unify communities and organizations in driving actions that support inclusion for those affected by mental health conditions.

According to the World Health Organization, “People with mental health conditions continue to experience a wide range of human rights violations. Many are excluded from community life and discriminated against, while many more cannot access the mental health care they need or can only access care that violates their human rights”

Flushing Hospital Medical Center has implemented several initiatives to address these problems through raising awareness and providing quality mental health care and support to our community. This includes projects aimed at destigmatizing mental health services among underserved and older populations.

To learn more about the programs offered at Flushing Hospital, find out more about our outpatient mental health services, or schedule a virtual appointment, please call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach our clinic.

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.

National Suicide Prevention Awareness Month

Suicide is currently the 11th leading cause of death in the United States. It can happen for a wide variety of reasons, but some of the most common risk factors include:

  • Personal or family history of suicide attempts
  • Personal or family history of mental disorders or substance use disorders
  • Chronic pain
  • Exposure to family violence, including physical or sexual abuse
  • The presence of firearms in the home
  • Recent release from prison or jail
  • Exposure to suicidal behavior from other people

While suicide is most common among middle-aged people, particularly men, it can happen among people of all ages. Many of the same warning signs apply to both adults and young people, but some may be different. Additionally, not all of these signs necessarily indicate that a person actually intends to commit suicide; however, they can indicate that the person is at risk and may benefit from preventative treatment.

For adults, suicide warning signs to watch out for include:

  • Talking about or planning suicide
  • Anxious, agitated, or reckless behavior
  • Talking about being a burden to others
  • Talking about feeling trapped or experiencing unbearable pain
  • Increased or frequent usage of alcohol and/or drugs
  • Talking about feeling hopeless or having no reason to live
  • Insufficient or excessive sleep
  • Social isolation
  • Extreme moods or mood swings

In addition to the above indicators, warning signs for young people include:

  • Expressing hopelessness about the future
  • Severe or overwhelming emotional pain or distress
  • Anger or hostility that seems increased and/or out of character

Whether or not you believe a person may genuinely commit suicide, do not dismiss these warning signs; they are indicators of serious underlying mental health problems. Let them know that you have recognized changes in their behavior, that they are not alone, and that you are there to support them.  You should also do what you can to make sure that they feel comfortable speaking openly with you about what’s troubling them.

Aside from providing support, the most helpful step you can take for someone who may be at risk of committing suicide is to encourage them to get professional help. You can reach Flushing Hospital Medical Center’s Outpatient Psychiatric Clinic to schedule an appointment or get more information by calling (718) 670-5562.

If you or someone you know is having suicidal thoughts or demonstrating suicidal behaviors, get help immediately. Call 911, 1-800-SUICIDE, or 1-800-273-TALK right away.

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 are Cognitive Distortions?

Our thought patterns play a large role in the way we view the world around us, including things like our relationships, jobs, and living circumstances. The more experiences we have, the more patterns of thought we develop. Unfortunately, these patterns can often lead you to draw conclusions or interpret events in a way that is not actually based on facts or reality, typically in a negative way. When these false interpretations become a habitual way of thinking, they become cognitive distortions.

People often develop cognitive distortions in response to negative life situations as a coping mechanism. While they are not considered a form of mental illness on their own, they may be more likely to occur because of one.

Several types of cognitive distortions are particularly common. Some of these include:

  • Polarized thinking (thinking in extremes without considering all relevant facts)
  • Overgeneralization (applying a conclusion about one event to too many other events)
  • Catastrophizing (assuming the worst conclusion despite a lack of evidence)
  • Personalization (taking things personally that are not necessarily connected to you)
  • Mind reading (assuming to know what other people are thinking)
  • Mental filtering (ignoring positive things and focusing exclusively on the negatives)
  • Emotional reasoning (believing that emotions indicate the reality of a situation)
  • Labeling (classifying things in a negative way based on one negative event)

If you’re experiencing cognitive distortions, there are steps you can take to break out of these habitual ways of thinking. Once you’ve identified the thought, it can help to consider alternative evidence or interpretations that challenge your initial conclusion. Additionally, you may want to think in terms of how your initial thought is benefitting you as opposed to other conclusions.

Cognitive distortions can contribute to or indicate mental health problems such as anxiety or depression. Flushing Hospital Medical Center’s Psychiatric Department offers a variety of approaches to therapy that can help you achieve an improved state of mind and quality of life. To learn more or schedule an appointment, please call (718) 670-5562.

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 Self-Harm?

Self-harm is when a person intentionally hurts themselves. Generally, people who self-harm do not intend for their actions to kill them. They may act in this way for a wide variety of reasons, such as to help them cope emotionally with distressing thoughts or feelings or to communicate to others non-verbally that they are in distress and need support.

People self-harm in many different ways, including:

  • Cutting or scratching to break skin
  • Burning themselves with objects such as lit cigarettes, heated sharp objects, or chemicals
  • Physical trauma, such as hitting themselves with an object or hitting objects in ways that cause harm to themselves (for example, punching a wall)

These forms of self-harm can leave different kinds of marks on the body, such as bruises, burns, and scars. A person may try to cover these marks up with long-sleeve clothing, even in hot weather, and may explain the presence of any visible marks as the results of accidents. New marks may appear with some degree of frequency.

Certain factors increase a person’s likelihood of developing self-harming behaviors. Some of these factors include:

  • Abuse or traumatic childhood experiences
  • Age (self-harm most often begins between the ages of 12 and 14, potentially continuing for many years)
  • Being non-cisgender (people who identify with a gender other than the sex assigned to them at birth face a higher likelihood of facing bullying, abuse, and trauma)
  • Being non-heterosexual (people belonging to sexual minority groups self-harm at a higher-than-average rate due to an increased likelihood of abuse and trauma)
  • Social isolation

Self-harm can lead to potentially serious and permanent medical complications, including infection, nerve damage, scarring, severe injury, and death. It can also negatively impact social relationships, feed into a negative self-image, and increase a person’s risk of suicide, particularly if their self-harming behaviors become worse over time.

If you or someone you know engages in self-harm, it can help to have someone to talk to about what you’re thinking or feeling in a non-judgmental setting. Flushing Hospital Medical Center’s Outpatient Psychiatric Clinic provides individual psychotherapy services to people of all ages who are experiencing mental health problems. You can reach the clinic to schedule an appointment by calling (718) 670-5562. Additionally, you can dial 988 to reach the Suicide & Crisis Lifeline.

If a medical emergency occurs due to self-harm, please dial 911 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.

Anxiety Triggers

Anxiety is defined by the National Library of Medicine as, “a feeling of fear, dread, and uneasiness.” Having these feelings occasionally is normal; however, they become a health concern when they are excessive and interfere with the ability to live a normal life.

The exact cause of anxiety is still not fully understood, but it is believed that the following factors play a role:

  • Genetics
  • Environmental stress
  • Brain chemistry
  • Certain medical conditions

Although the exact cause of anxiety is unknown, certain triggers such as life events, lifestyle changes, or daily habits can lead to or worsen this response. These include:

  • Financial insecurity
  • Traumatic experiences
  • Caffeine consumption
  • Alcohol consumption
  • Meeting new people
  • Stress
  • Relationship problems
  • Exposure to violence
  • Taking certain medications
  • Substance misuse
  • Loneliness or isolation

Anxiety triggers are unique to each individual. However, the most important steps anyone affected by anxiety can take is identifying what their triggers are and learning how to cope with them.  Here are a few tips for coping with anxiety:

  • Limit alcohol and caffeine consumption
  • Exercise
  • Use stress management or relaxation techniques such as yoga, meditation, or deep breathing
  • Maintain good sleep health
  • Try to minimize negative thoughts and think positively
  • Journal or write down your thoughts
  • Speak to someone about how your feeling
  • Adhere to your treatment plan

Anxiety affects many people, and no one should feel ashamed if they struggle with the disorder or other mental health disorders.  If you or someone you know is affected by anxiety, consult a mental health professional to explore possible causes and treatments.  Your mental health provider may recommend lifestyle changes,  psychotherapy, or medication.

To find out more about our outpatient mental health services or to schedule a virtual appointment, please call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic.

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.

When Does Depression Become An Emergency?

People often associate going to the emergency room (ER) with treating physical emergencies; however, it is important to know that the ER is also equipped to treat mental health emergencies.

One of the most common mental health conditions treated in the ER is severe depression which requires immediate care.

Severe cases of depression should be taken as seriously as any other physical, life-threatening health condition, especially when an individual is expressing the desire to harm themself or others, or is experiencing thoughts of suicide.

Depression should also be treated as an emergency when:

  • A person who has been diagnosed with clinical depression has an acute change in their mood that persists for weeks
  • A person is unable to care or has stopped caring for themself
  • There are new symptoms presenting such as psychosis, hallucinations, mania, or delusions

If you or anyone you know is experiencing a mental health emergency, call 911 right away.  If there are concerns about suicide, you can also contact the National Suicide Prevention Lifeline at 1-800-273-8255 or call, text, or chat 988.

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 Can Stress Affect Rheumatoid Arthritis?

Stress is a common trigger for rheumatoid arthritis flare-ups, during which symptoms such as pain, swelling, and joint stiffness worsen for a temporary period of time. The factor most closely linked to the onset of flare-ups is the inflammatory response of your immune system to stress. Inflammation is the primary means by which rheumatoid arthritis damages your joints over time.

Once a flare-up has been triggered, your arthritis symptoms may contribute to the amount of stress you experience, creating a cycle that causes both issues to worsen over time and disrupts daily activities and movement.

There are certain steps you can take to manage your stress levels and reduce the frequency of your rheumatoid arthritis flare-ups. These include:

Following a regular exercise routine: Regular physical exercise can be significantly helpful for both stress reduction and increased joint mobility. Your routine should include strength exercises, cardio, and stretching to improve flexibility and reduce your chances of injury.

Targeting work-related stress: Twenty-five percent of Americans report that their workplace is the number one cause of stress in their lives. Make sure to pace yourself with periodic breaks throughout your work day, take time to move around and stretch, and make a point of tackling any specific problems that are stressing you out (such as a delayed project or a dispute with a coworker) directly in a calm, reasoned way.

Talking to a doctor: If you experience symptoms of rheumatoid arthritis, you should work with a rheumatologist to manage your physical symptoms and find the most effective treatment approach for you. Additionally, if you experience chronic stress, you should work with a psychiatrist to determine the root causes and the best way to approach them.

You can schedule an appointment with a rheumatologist at Flushing Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-5486. You can also find a psychiatrist at our Outpatient Psychiatric Clinic by calling (718) 670-5562.

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.

Differences Between Psychologists, Psychiatrists and Licensed Mental Health Counselors

Taking care of your mental health and well-being is just as important as taking care of your physical health.  If you are feeling overwhelmed, or experiencing anxiety or other symptoms of a mental health disorder, it is highly recommended that you seek the help of a licensed professional.

Mental health professionals can help you to assess challenging life events and explore how they may be affecting you. They are trained to diagnose mental health conditions and provide the tools needed to manage emotions, phobias, compulsions, or addictions.

There are several types of mental health professionals available to help with your concerns. The most common are licensed mental health counselors, psychiatrists, and psychologists. Understanding the key differences in their training and the delivery of their services can help with deciding what is best for you.

  • Psychologists- have advanced, doctoral degrees in the study of the human mind and behaviors. They are qualified to provide counseling and psychotherapy, perform psychological testing, and treat mental health disorders. Psychologists are not medical doctors; therefore, they generally (except for a few states) do not prescribe medications and cannot perform medical procedures.
  • Psychiatrists– are medical doctors who are trained in the field of psychiatry (the branch of medicine that focuses on preventing, diagnosing, and treating mental health and emotional disorders). Psychiatrists typically treat more complex mental health disorders than psychologists and are trained to differentiate mental health problems from other underlying medical issues that present symptoms similar to psychiatric conditions.  Psychiatrists can prescribe medications and other medical treatments as part of a patient’s treatment plan.
  • Licensed Mental health counselors- have master’s degrees in a field of study related to mental health such as counseling or psychology. They work with individuals, couples, or families to identify triggers, improve overall mental well-being or cope with mental health issues. They are not medical doctors; therefore, are unable to prescribe medications.

If someone you know is experiencing mental health problems, please encourage them to seek the assistance of a mental health professional.

To schedule an appointment with a Mental Health Professional at Flushing Hospital Medical Center, call 718-670-5562.

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.

3 Mental Health Tips for Online Dating

If you’re looking for love this Valentine’s Day, you may be using online dating apps as part of your search. The odds of success may be in your favor, as most couples today first meet online, but if you aren’t careful, your approach to online dating could be harmful to your mental health.

People with pre-existing mental health conditions such as depression or anxiety may experience symptoms as a result of the way many major dating apps work. Most apps display photos of users along with information about their personalities. Users may develop  negative thoughts about their body image or about themselves in general if they aren’t getting many responses to their profile.

On the other hand, while a high number of responses may provide an initial sense of validation, it can quickly turn negative if potential connections or conversations come to a quick or unexpected end.  Negative feelings can also  occur after first dates if the person you met decides to “ghost” you, never responding or asking to go out with you again.

To stay mentally healthy despite these potential bumps in the road of your online dating journey, you should:

Set limits on the time you spend on each app: The unhealthy effects of online dating apps can increase as you spend more time on them  at the expense of other activities. Set a time limit of about 30 minutes each day or limit your number of swipes for each app. Take a break to do something else after finishing your time with one app if you plan to use another.

Make genuine connections your goal: It can be easy to swipe thoughtlessly on a high volume of profiles, resulting in either a low number of matches or conversations that lead nowhere. Don’t swipe just to see how many matches you can get; use online dating apps as a tool to meet people you can genuinely connect with based on your true personality.

Avoid online dating on bad days: If you are in a negative frame of mind due to the events of your day or are experiencing sudden symptoms of a mental health condition, avoid online dating apps for that day entirely, as they can do more harm than good to your self-esteem and self-image in these moments.

If you’re experiencing mental health problems that are interfering with your ability to make connections with other people, romantic or otherwise, you can find help from a therapist at Flushing Hospital Medical Center’s Outpatient Psychiatric Clinic. To schedule an appointment or learn more, please call (718) 670-5562.

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.