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Your Local Psychiatrist, New York, NY (2025)

04/27/2023

Night Terrors Vs. Nightmares

What is a Night Terror?

Night terror is a sleep disorder that can happen during non-rapid eye movement (NREM) sleep. This condition is more common in children and may last for a few minutes.

During a night terror episode, a person may seem like they are waking up, but they are not completely conscious and may feel disoriented or confused.

The individual may cry, scream, or move their body erratically and could be hard to console or comfort.
Night terrors can be distressing not just for the person experiencing them but also for anyone who is present during the episode.

What is a Nightmare?

Nightmares are dreams that can be unsettling, frightening, or anxiety-inducing, leading a person to wake up feeling scared, anxious, or upset.

They typically occur during the rapid eye movement (REM) phase of sleep, which is the stage when the most vivid and emotional dreams happen.

Nightmares are often intense and detailed, involving scenarios that reflect a person’s deepest fears, insecurities, or experiences.

Nightmares can be triggered by various factors, such as stress, anxiety, trauma, and certain medications.

Post-traumatic stress disorder (PTSD) is one of the most common causes of recurrent nightmares, and it often affects people who have experienced a traumatic event.

Stress and anxiety can also lead to nightmares, as the body produces more cortisol, a stress hormone that can interfere with sleep and cause vivid dreams.

Certain medications, such as antidepressants, blood pressure drugs, and narcotics, can also cause nightmares as a side effect.

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We will help you! Have a nice day, stay healthy!

04/27/2023

What is a Codependent Friendship?

Just like romantic relationships, friendships can also be unhealthy and codependent.

A codependent friendship is one where one friend is overly dependent on the other for emotional support and validation.

This often results in an unbalanced relationship where one person gives more than they receive, leading to resentment and frustration.

🎭 Codependent Friendship Signs and Symptoms

🚩Neediness: One friend always requires rescuing or excusing
In a codependent friendship, one friend may always find themselves in difficult situations, either by their own doing or external circumstances.

🚩Emotional Exhaustion: The giver often feels drained after spending time with their friend.
In a codependent friendship, one friend may always be giving emotionally, financially, or with their time, while the other friend always takes.

🚩Shared Emotions: Emotions are shared, and one person’s distress affects the other.
In a codependent friendship, emotions are shared, and if one friend is upset or stressed, the other friend feels it too.

🚩Difficulty with Boundaries: One friend struggles to assert their opinions and make independent choices.

🚩Jealousy:
In a codependent friendship, one friend may become jealous or possessive if the other person gets close to someone else. They may feel like they are being replaced or that their friend’s emotional support is being taken away.

📞 718-307-1577
🌐 www.rudoymedical.com

We will help you! Have a nice day, stay healthy!

03/31/2023

WHAT IS PICA DISORDER?

Pica is an eating disorder that compels individuals to consume non-food items like dirt, paint, or ice. The truth is that this disorder offers a serious threat to one’s general health and well-being, despite the fact that it may initially appear harmless.

🤰 Pica is commonly observed in children and pregnant women, yet it can also affect adults. The exact prevalence of Pica in adults is unknown, but studies suggest it may be more prevalent in adults with developmental disabilities or intellectual impairments.

A Traditional Practice vs. A Dangerous Eating Disorder

⛔ It is worth noting that Pica is not always a disorder and can be a cultural practice in some communities. However, if it is causing harm or putting an individual’s health at risk, it is considered an eating disorder, and professional help should be sought.

Pica Diagnosis: What to Expect and How it’s Done

📙 First, a healthcare professional will take a thorough medical history of the patient, including any cravings or symptoms related to non-food items.

📙During the physical examination, the healthcare professional will look for any physical indications of Pica, such as discoloration of the teeth or skin or the presence of non-food materials in the patient’s stool.

📙 The results of laboratory tests can be used to confirm a diagnosis of Pica. These tests may include a complete blood count to check for anemia, as well as tests to detect the presence of heavy metals or other toxic substances in the patient’s blood or urine.

📙 Once diagnosed, a treatment plan will be created, which may include addressing any underlying medical conditions or nutritional deficiencies, as well as providing counseling and therapy to overcome the cravings for non-food items.

If you need help from a psychiatrist or feel that something is wrong with your life, contact us!

📞 718-307-1577
🌐 www.rudoymedical.com

We will help you! Have a nice day, stay healthy!

03/31/2023

BIG CITY PROBLEMS. FEELING OWERWHELMED?

Constant stimulation from city living can take a big toll on your mental health.
While living in a metropolis has its perks, it can take a big toll on our mental health.

Compared to rural residents, researchers have found that urbanites are 21 percent more likely to have anxiety disorders and 39 percent more likely to have mood disorders. A 2017 meta-analysis also found that rates of the following mental health conditions were higher among those living in urban areas:

💔 PTSD
💔 anger management
💔 generalized anxiety disorder

The same was true for more serious psychological disorders like schizophrenia and paranoia.

The constant stimulation of city life can propel the body into a stressful state, known as the fight-or-flight response. That can make us more vulnerable to mental health concerns, such as depression, anxiety, and substance use.

In addition, the pace of the big city is too fast, so burnout, fatigue and dissatisfaction are common. Everyone is constantly striving for more and never gets enough, which leads to various psychological and psychiatric problems.

However, you can make your stay in the big city better for your mental health with the following steps:

🌆 Spend time outdoors
Studies show that connecting with nature can help improve your psychological well-being and even prevent depression.

🌆 Create a community
Social interactions help build social connections and form intimacy. They may even improve our physical health.

🌆 Exercise
It’s no surprise that exercise is good for our physical and mental health.

🌆 Talk about it
Talking about the ups and downs of city living is one way to cope with the stress. Finding others who validate your experience can affirm that you’re not alone.

If you need help from a psychiatrist or feel that something is wrong with your life, contact us!

📞 718-307-1577
🌐 www.rudoymedical.com

We will help you! Have a nice day, stay healthy!

02/13/2023

What psychotherapy approaches are most successful in treating addictions?

There are several psychotherapeutic approaches that are helpful with treating addictions for drug, behavioral, and impulsive addictions. Cognitive Behavioral Therapy, 12-Step programs, Rational Emotive Behavioral Therapy and Brain spotting are all techniques used to help treat addictions.

Cognitive Behavioral Therapy: CBT can be helpful for treating both behavioral and substance related addictions by helping individuals understand reasons behind their motivations. CBT specializes in helping recognize thoughts and patterns of behavior so they may unlearn negative ways of coping and relearn healthy coping mechanisms.

12-Step: Psychotherapy for alcohol addiction can include 12-step programs. These help by involving struggling individuals have a sense of community and universality. It helps them recognize they are not in this fight alone. Often, individuals put faith into a higher power to help with guidance, acceptance, and resilience.

Rational Emotive Behavioral Therapy: Using 3 steps including an initial event, cognitions or beliefs about the event, and the person’s response to the belief, a therapist may help an individual recognize and reframe irrational thought patterns.

Brain spotting: Using talk therapy, a person’s eye movement is recorded to see if there are certain spots that connect to past experiences or trauma. Revealing these can help an individual process through experiences that may have contributed to motivations or avoidances related to an addiction.

If you need help from a psychiatrist or feel that something is wrong with your life, contact us!

📞 718-307-1577
🌐 www.rudoymedical.com

We will help you! Have a nice day, stay healthy!

01/29/2023

Types of Addictions

There are two main types of addictions including drug addictions and behavioral addictions. Each of these alter parts of your brain that affect the reward system. Examples of drug addictions include opioids, alcohol, co***ne, prescription drugs, and more.

Behavioral addictions are things like food addiction, s*x addiction, po*******hy addiction, pain seeking, and many others. These often may be considered as addictive behaviors, but many feel they do not fit criteria of addiction as recorded in the DSM 5.

😮Why are addictions dangerous?
Addictions are dangerous for many reasons. One main factor is the risk of death due to overdose of particular drugs. In cases where overdoes does not lead to death, it can lead to life altering changes of the brain and of the physical body. Those who suffer from addiction are more susceptible to issues with memory, decision making, and bodily behaviors. These changes may be permanent if not treated early enough. Behavioral addictions may cause severe social impairment leading to bankruptcy, criminal charges, and may affect a person’s ability to make rational decisions. Psychological effects may also occur due to long-term drug abuse.

🌿How do they affect the quality and longevity of life?
There are several factors that impact the quality and longevity of life if someone suffers from an addiction. An individual with an addiction may have impaired self-control. Even if they believe and want to stop using a drug or completing a behavior, it may be impossible for them to stop. It is a habit their body and brain has become accustomed to using as a way of coping.

Social impairments may also occur when an addiction may take precedent over work, school, or familial responsibilities leading to loss of jobs, opportunities, and unhealthy relationships.

01/22/2023

What are some other types of Dyslexia? (HOW TO DEAL)

Phonological: This is arguably the most common form of dyslexia and refers to an individual’s difficulty with sounding out words and spelling.

Rapid Naming: This form of dyslexia is related to an individual’s processing ability. The typical dyslexia symptoms include: using gestures instead of words, making up words under pressure, and difficulty finding the right word for answers.

Surface: Surface dyslexia describes an individual that may struggle to recognize words by sight. A typical symptom is an inability to read words by sight, particularly words that do not sound how they are spelled.

Visual: This is a vision-based form of dyslexia and refers to individuals who may have difficulty remembering what was seen on a page. A typical symptom is a text appearing double or blurred vision when reading.

Mathematical: Mathematical dyslexia describes an individual who struggles to understand numbers and mathematics.

How to deal with Dyslexia and its symptoms?

Why is it important to figure out the early signs and symptoms of dyslexia?
Dyslexia is an incurable disorder. Left untreated, it can impact one’s life negatively and result in long-lasting social, educational, and economic problems. However, children with access to additional support from a younger age will be able to improve their reading and speaking skills to succeed in higher education.

What to do if you experience the symptoms of dyslexia?
If you experience symptoms of dyslexia, it is best to seek a professional opinion and spend time learning about the disorder. A doctor can administer a test that will help determine if you are dyslexic and, if so, the type that is present.

Why should you contact a psychotherapist?
Therapists are experts at helping people to navigate the difficulties of invisible illnesses and challenges. If you are feeling anxiety or depression due to the disorder, a therapist can help you cope with these struggles and lead a healthier life.

How can a psychotherapist help to treat dyslexia and reduce the negative impact of dyslexia symptoms on everyday life?
A psychotherapist will not perform treatments that will directly help with dyslexia. Instead, they are there to help guide you through the emotional repercussion of having the disorder. Individuals suffering from dyslexia may face depressive feelings, high anxiety, and self-esteem issues.

A psychotherapist can provide you with the tools and mindset to cope with these challenges and become stronger as an individual.

01/19/2023

What are the symptoms of Dyslexia?

As previously stated, the common symptoms of dyslexia are related to one’s ability to read, write, and speak. However, these symptoms may differ based on the severity of the disorder or the age of the individual in question.

What are the early signs and symptoms of dyslexia?
If understood, dyslexia symptoms in children can be identified from very young ages and caught early on. Here are some of the early signs and symptoms of dyslexia:

Late to begin talking.
Difficulty with learning new words.
Difficulties with remembering the names of letters, colours, or numbers.
Mixing up words or saying them backwards.
What are some common dyslexia symptoms in children?
Once beginning school, it will be easier to identify dyslexia symptoms in children struggling with regular school activities. Some typical dyslexia symptoms may be:

Difficulty with spelling and avoidance of the activity.
Issues with memorization or finding the right words to use in responses.
Below-average reading abilities.
Difficulties with summarizing stories or completing word problems.
If you identify any of these symptoms in your child or students, it is prudent to seek a professional’s opinion and get tested for the disorder.

What are the symptoms of dyslexia in adults?
The symptoms of dyslexia in adults are similar to what would be identified in a child. This includes:

Difficulty with reading, particularly aloud.
Issues with spelling and writing.
Mispronouncing words.
Difficulty with learning a new language or summarizing details.
Dyslexia is uncurable, and without proper treatment, it will continue to be an issue through adulthood. However, treatment can begin at any age in life to properly manage the disorder and reduce the symptoms of dyslexia.

01/14/2023

What is Dyslexia?

Dyslexia is a learning disability that has affected millions of people worldwide. It causes the individual to have difficulty identifying speech sounds and understanding how they relate to letters and words.

A common stereotype and misunderstanding around dyslexia are that it correlates to someone’s intelligence. Thus, leading to accusations of the person being “dumb” or “unintelligent.” However, this is far from the truth, and those with dyslexia can succeed in school through specialized programs and emotional support.

How does it affect everyday life?

Dyslexia can affect organizational skills, communication, concentration, and memory, among other things. This can have a significant impact on everyday life. It could come from struggling to read instructions for a new appliance, inability to concentrate during classes, or forgetting about a planned event.

How to identify dyslexia?

Unfortunately, the symptoms of dyslexia are often overlooked, and some individuals will not realize they have the disability until adulthood. It is crucial to watch out for the different signs indicating an individual might have the disorder. Some of the common ways to identify dyslexia are from issues present in reading, writing, and speaking.

01/06/2023

ACT vs ERP for OCD

ACT and ERP are similar methods of dealing with OCD that use exposure differently to help clients handle their compulsions.

Discover about ACT in the previous post!

What is ERP?
ERP is commonly referred to as the standard for treating obsessive-compulsion disorder. ERP is a form of cognitive behaviour therapy that pushes individuals with OCD to face scary stimulation head-on and refrain from the need to perform their compulsions.

It focuses on tolerance or the endurance an individual can create to counter compulsive behaviours. It sees compulsions and OCD as something to be struggled against and eventually controlled.

How does ACT fit into the OCD treatment, and how is it different from ERP?

ACT for OCD follows a similar exposure method as ERP but exchanges the endurance aspect of ERP for acceptance and optimism. In addition, ERP therapists will spend time tracking a client’s anxiety levels during exposure. ACT therapists view anxiety as a typical experience and reinforce the importance of reflecting on core values to deflect anxiety and compulsive behaviours.

12/26/2022

The Effectiveness Of ACT For OCD

What is ACT (acceptance and commitment therapy)?

Acceptance and commitment therapy is based on a combination of traditional behaviour and cognitive behavioural therapy. Patients are taught to be action-oriented and encouraged to make necessary behavioural changes, regardless of their feelings towards them.

What does ACT do?

ACT is used to increase psychological flexibility and aid clients in understanding their emotions more healthily. Life is not black and white but forces people to overcome challenges and deal with their feelings. ACT provides the tools necessary to remove unwanted thoughts and make room for positivity and acceptance.

How does acceptance and commitment therapy for OCD (obsessive-compulsive disorder) work?

Acceptance and commitment therapy follows six core steps that help clients develop psychological control and flexibility over their emotions and behaviour.

These steps include:

1. Acceptance: learning to embrace your emotions and thoughts.

2. Cognitive Defusion: observing thoughts without judgment.

3. Being Present: experiencing events clearly and for what they are.

4. Self as Context: Realizing you are more than your thoughts and feelings.

5. Values: identifying personal values and motivations.

6. Committed Action: Taking steps towards these values and motivations.

This form of therapy and its six steps can help treat numerous mental health and cognitive disorders. This includes OCD acceptance and commitment therapy or using ACT for the treatment of anxiety, chronic pain, and eating disorders.

12/20/2022

How To Cope With Divorce?

If you find yourself unable to move forward or you have developed destructive behavioral patterns because of a divorce, then it is time to prioritize self-care and get the necessary help. It is essential for your peace of mind and well-being to find the best way to cope with divorce.

💔 Forgive yourself
It is essential to spend time on self-reflection and give yourself the time and space you need to get through a divorce emotionally.

💔 Lean on friends and family for support
Reminding yourself that you’re not alone can be accomplished by surrounding yourself with a network of loved ones, close friends, and dependable coworkers. Make as many in-person connections as you can with people who care about you, are open to listening, and who will provide compassion and constructive encouragement.

💔 Avoid conflict and cultivate a positive environment
Divorce has the potential to turn ugly, particularly when attorneys and courts are involved. However, it is advantageous for everyone involved to maintain a positive environment around you, your former partner, and especially your children. Children who experience ongoing parental disagreement are more likely to experience psychological and social issues.

💔 Discover new interests
Make time to learn something new or pursue a pastime you’ve always wanted to try instead of wallowing in misery or dwelling on the drawbacks of your circumstance.

💔 Make New Friends
Splitting up finances, assets, and friendships are all consequences of divorce. It’s not uncommon for past friends to take sides or find it difficult to be loyal to both sides.

💔 Consider getting some outside help and looking for a therapist
Finding a reputable therapist can help you navigate the emotional rollercoaster during a divorce, particularly if you’re having problems finding a confidant.

12/20/2022

High-Functioning ADHD Symptoms In Adults

ADHD is a neurodevelopment disorder that affects the development of the brain. ADHD is known to cause hyperactivity, compulsive behavior, and inattention to the affected persons.

High-functioning ADHD, on the other hand, is when an ADHD patient exhibits mild symptoms of the disease and is, therefore, able to function at a near-normal status. In high-functioning ADHD the affected patient is not debilitated by ADHD symptoms. Moreover, high-functioning ADHD patients, often find alternative ways to undertake and finish tasks at hand.

Symptoms:

🙇🏼 Difficulty multitasking
ADHD significantly reduces the concentration span in the affected patient.

🙇🏼 Getting stressed out easily
It is very common for ADHD patients to miss out on important deadlines or fail to complete tasks. When this happens patients tend to start blaming themselves which then leads to stress.

🙇🏼 Frequent mood swings
Patients living with ADHD often have difficulty controlling their emotions.

🙇🏼 Poor time management
Persons suffering from ADHD frequently miscalculate how much time it will take them to do a particular task.

🙇🏼 Procrastination
A chronic need to put off tasks to a later time or date is also a symptom of ADHD in adults.

🙇🏼 Difficulty reading for an extended amount of time
Persons living with ADHD are easily distracted and hence cannot read for an extended period of time.

12/01/2022

Part 1 - The Most Common Eating Disorders Types And Their Signs

What is an eating disorder?

It can be described as a mental illness characterized by abnormal eating habits that negatively affect a person’s physical or mental health. Eating disorders are usually caused by genetic, biological, psychological, and environmental factors.

They are often associated with other mental disorders such as anxiety, depression, and substance abuse. Eating disorders can be hazardous and even life-threatening if left untreated. Anyone who suspects that they or someone they know may have an eating disorder should talk to a doctor as soon as possible. Early intervention is essential for the successful treatment of eating disorders.

1️⃣ Anorexia nervosa

Anorexia nervosa is an eating disorder that can devastate a person’s physical and mental health. The condition is characterized by an intense fear of gaining weight, which leads sufferers to restrict their food intake and engage in dangerous levels of exercise. Anorexia nervosa often begins during adolescence and is more common in girls than boys. However, the disorder can affect people of any age and gender.

Signs of anorexia nervosa:

- Drastic weight loss
- Fatigue
- Irritability
- Insomnia
- Dizziness
- Dry skin and hair
- Brittle nails
- Cold intolerance

It’s essential to seek help from a doctor or mental health professional if you notice any of the signs. Anorexia nervosa is a severe and potentially life-threatening disorder that requires treatment.

2️⃣ Bulimia

Bulimia is an eating disorder characterized by binge eating followed by purging. Binge eating is defined as eating a huge amount of food in a short time, and purging is typically accomplished by self-induced vomiting or using laxatives.

People with bulimia may feel like they cannot control their eating and may feel ashamed or embarrassed about their behavior. As a result, they often try to keep their disorder secret, making it challenging to identify.

There are several potential causes of bulimia, including emotional stress, dissatisfaction with one’s body image, and societal pressure to be thin.

Signs and symptoms of bulimia:

- Secretive eating habits
- Frequent trips to the bathroom after meals
- An obsession with food or weight
- Evidence of self-harm

Bulimia can have serious health implications, including electrolyte imbalances, gastrointestinal problems, and tooth decay. If you feel like someone you know may be suffering from bulimia, it is vital to encourage them to seek professional help. Treatment for bulimia typically includes counseling and behavior modification therapy.

3️⃣ Binge Eating Disorder (BED)

Binge eating disorder (B.E.D) is an alarming and dangerous disorder in which a person compulsively consumes huge amounts of food in a short time, even when they are not physically hungry. Bingeing can often lead to feelings of shame, guilt, and embarrassment, as well as physical discomfort due to the amount of food consumed.

Individuals with B.E.D often feel out of control during a binge and are unable to stop themselves from eating even when they are full. It is estimated that B.E.D affects approximately 3.5% of adults in the United States and is the most common eating disorder in the country.

While the exact cause of Binge Eating Disorder is unknown, several risk factors have been identified, which include: emotional stress, dieting or food restrictions, genetic disposition, and certain psychiatric conditions such as anxiety or depression.

Physical signs and symptoms of Binge Eating Disorder:

- Eating huge amounts of food quickly
- Feeling out of control while bingeing
- Feeling ashamed or embarrassed after bingeing
- Eating even when you aren’t physically hungry
- Experiencing physical discomfort after bingeing, such as stomach pain

12/01/2022

REM sleep behavior disorder symptoms 😴

Rapid eye movement (REM) sleep behavior disorder is a parasomnia typified by dream-acting actions that materialize in the loss of REM sleep atonia. Dream-acting disorder ranges in severity from non-threatening hand gestures to aggressive punching, thrashing, and kicking. In most cases, patients present to medical attention with concerns linked to detrimental or potentially injurious actions to selves or their bed partners.

What are the symptoms of rem sleep behavior disorder?

REM sleep behavior disorder demonstrates strange actions during REM sleep that might disrupt sleep and cause injury. Symptoms of RBD comprise:

😴 Movement, such as kicking, punching, arms flailing, or jumping from bed

This is the most apparent symptom of REM sleep behavior disorder among patients. It can also result in injury to self or bed partners.

😴 Noises, such as talking, laughing, shouting, and emotional outcries

Another symptom of REM sleep behavior disorder is producing noise during their sleep.

😴 Being able to recall the dream if you awaken during the episode

In most cases, the RBD patient wakes up abruptly with quick attentiveness and can recount the dream logically. A vast majority of patients are usually conscious of their dream-enactment conduct.

😴 Sleepwalking

Every night, patients experience numerous cycles of REM and non-REM sleep. Most often, sleepwalking occurs during sleep, while non-REM sleep, also known as N3, sleeps early at night. This symptom is more common among young adults and children; this is due to the fact that as individuals age, they experience less N3 sleep. Most importantly, sleepwalking tends to run in families.

😴 Having the eyes open

Most patients have their eyes open during REM sleep, the eyes rapidly move, and vivid dreams are most common.

11/29/2022

HOW TO CALM AN ANXIETY ATTACK?

There are several ways to calm an anxiety attack in its tracks. You also need to figure out ways to reduce the frequency of panic attacks. Here are the best ways to calm down from an anxiety attack you may try.

✔️Redirect Nervous Energy

If you keep experiencing panic attacks, you should find ways to ground yourself in the reality of what’s surrounding you. Panic attacks generally cause feelings of detachment from reality. This is because you will be filled with nervous energy. Great ways to redirect your energy include focusing your attention on the present and trying to figure out your current emotional state. Another way would be to meditate.

✔️Write it Out

Anxiety attacks will fill your mind with negative and scary thoughts. This is what keeps the panic going. To calm down during an anxiety attack, write down some encouraging worse so you can read them to yourself when you have a panic attack. If you know the common negative thoughts that race through your mind during panic attacks, you should work on a script that addresses those specific thoughts.

✔️Breathing Exercises

Breathing exercises help to reduce levels of stress by increasing oxygen exchange. This, in turn, reduces blood pressure and releases the tension held in your abdomen. The changes brought about by breathing exercises can also benefit your mental state.
Walk It Off or Have a Workout

Exercise helps to release hormones known as endorphins. These hormones improve mood and relax the body. Exercise is also known to significantly lower stress levels, which may lead to a reduced frequency of panic attacks. Additionally, it’s a great way to give your mind some rest.

Summing Up

Panic attacks can be very scary. Fortunately, there are things you can do to reduce their intensity and stop them in their tracks. Apart from drinking water and taking a shower when you feel panic attacks are approaching, you should also make long-term changes that address the root cause of the panic attacks.

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