depression Archives ⋆ Page 2 of 2 ⋆ Chana Pfeifer

Counseling for Depression

A variety of distressing life events have the ability to cause low mood and sadness. If the symptoms are persistent and interfere with daily life, it can be considered depression. Regardless of the circumstances and severity of symptoms, counseling for depression can be an essential component to combat these stressful feelings.

Although individuals can experience it in different ways, some of the most common symptoms which lead to a clinical diagnosis of depression are:

Feeling sad, hopeless, overwhelmed, irritable, worthless, guilty
Increased emotional sensitivity or feeling of being emotionally numb
Loss of interest or pleasure in previously enjoyable activities
Social withdrawal, feeling isolated from the world
Physical symptoms such as chronic fatigue, malaise, GI disruption
Inability to sleep (insomnia) or sleeping excessively (hypersomnia)
Noticeable weight changes and/or major fluctuations in appetite
Difficulty concentrating, processing thoughts, making decisions
Thoughts of suicide, death, self-harm
Increased alcohol/substance use as a coping mechanism
Often, these feelings are accompanied by anxiety

These symptoms can continue for a period of time or occur in episodes. Elongated periods of severe symptoms can be considered major depressive disorder. Constant feelings of restlessness or slowed movements and speech can greatly interfere with an individual’s ability to function. Often, a lack of treatment can cause symptoms to become more intrusive and oppressive.

Some of the most common types of counseling for depression include cognitive-behavioral, psychodynamic, or psychosocial therapy. Simple talk or group therapy can be greatly beneficial as well. Chana Pfeifer can help discuss options for therapy to help alleviate symptoms that have become severe. In the process, she may assess other psychiatric features or medical conditions that may contribute to or interact with depression.

When one is seeing through a world view blurred by constant loops of negative thoughts, therapy can help to clear the lens. Identifying the roots of depressive feelings can be essential to re-programming the destructive behaviors which accompany it.

A therapist can help locate and resolve cognitive distortions and replace harmful coping skills with self-enhancing behaviors. Formulating a treatment plan is done with the patient’s well-being, self-confidence, and safety in mind.

In times of grief it might feel difficult to reach out for help. In fact, the feelings of worthlessness can discourage one from having hope. It is important to remember that no one is alone and that hope is a beacon always ready to be grasped by one’s powerful mind.

Therapy can help to make visible what one cannot see through the blackout curtains of depression and break up negative cycles with feelings of peace and security.

For more info. on counseling, call (516) 592-1107 or email Chana at TheHappierMe.LCSW@gmail.com

Anxiety Counseling Long Island

All humans experience anxiety to some degree in certain situations. Feeling anxious about important upcoming events, grief, stressors, or potentially dangerous situations is considered normal and a beneficial defense mechanism.

A healthy amount of anxiety can be helpful to increase motivation and drive healthy competition and success. However, it can become problematic when it comes with unhealthy apprehension, uncontrollable worry, and intense, irrational fears that interfere with daily life, self-confidence, and relationships.

Some cases of anxiety can be due to a stressful or grief-inducing event, substance use, or a medical condition. Symptoms can also be long-term and chronic and may not improve without treatment.

If you feel that symptoms of anxiety are causing you distress, seeking therapy is recommended.

Many people associate anxiety exclusively with panic attacks, however this is not always the case. In those with generalized anxiety disorder, the pernicious symptoms are present without recurring panic attacks.

Some of the symptoms of general anxiety can be as follows:

Mind racing with thoughts or going blank, making it hard to concentrate
Excessive worry, apprehension, fear that seems impossible to control
Restlessness, insomnia
Muscle aches / tension
Frequent fatigue
Irritability, agitation

Panic attacks are induced quickly and can last for minutes, with recovery and post-attack fatigue possibly lingering for hours. These events can be rare and transient, or chronic and frequently recurrent.

Panic attacks generally manifest with symptoms such as:

Increased heart rate, palpitations, chest pain
Shaking, restless movement
Chills or hot flashes, sweating
Feeling short of breath, heavy respiration, tightness in the throat
Lightheadedness, dizziness
Nausea, abdominal discomfort
Feelings of spiraling out of control, impending death or harm
Disconnection from reality or time

Anxiety can also manifest itself within other conditions including depression, social anxiety, obsessive compulsive disorder, post-traumatic stress, and specific phobias.

A therapist can help you distinguish what type(s) of anxiety you are dealing with. From a cognitive perspective, the licensed provider can help you identify the thoughts that cause it while working through methods to control the anxious behaviors that come as a result.

Regardless of the intensity of your anxiety, symptoms can be managed and fears overcome through reformulating thought patterns in counseling. Being present in a neutral, non-judgmental space where you can express your fears and concerns is helpful in the journey to attain physical, psychological, and emotional relaxation. A holistic approach to counseling can teach you how to approach and handle anxiety-inducing situations without having to deal with the constant stress of fear, worry, and panic. Reaching out for help is the first important step in giving yourself the freedom of a clear, calm mind in the face of anxiety.

For more info. on counseling, call (516) 592-1107 or email Chana Pfeifer at TheHappierMe.LCSW@gmail.com.

Grief Counseling Long Island

Processing grief due to the death of a spouse or partner can be a turbulent journey of emotional, psychological, and physical pain. The grieving process is different for every individual and it is essential that one has the opportunity to process the entire spectrum of emotions. Grief counseling can be a healthy way to cope with any emotions that may come up.

Constant shifting of emotional tides can be overwhelming in one’s delicate state following a loss.

Although individual experiences of grief can differ for everyone, the process has often been categorized into stages, most commonly that of Kübler-Ross (1969) which outlines them as denial, anger, bargaining, depression, and acceptance. Most often, the lines surrounding these stages are blurred and can incorporate many complex emotions not indicated in the model. Traumatic circumstances surrounding the death can be additional barriers to the healing process.

Initially, it is normal to be unwilling to accept that a loved one has died, feeling emotionally numb, or avoiding things related to the grief. One may feel anger directed towards life, oneself, others, and the loss itself. The bargaining stage can bring about a cyclic state of questioning about alternative outcomes or what could have been done to prevent the death. Depression manifests itself in various ways and is often accompanied by deep sadness, hopelessness, and isolation. These are normal reactions to loss.

Recognizing and processing feelings is necessary to progress to eventual acceptance. Unfortunately, it can be difficult to express one’s distress to close friends or family members. One might feel a sense of loneliness and detachment. Since this can lead to unhealthy repression, it is greatly beneficial to have a trained professional to talk to.

Persistent grief, that seems to worsen instead of improve over a long period of time, can be greatly detrimental to one’s health. Some characteristics of this typically include a separation from one’s identity, overwhelming guilt and longing, total denial and refusal of reality, or a desire to die so that one can reconnect with the deceased. In these cases, it is especially critical to seek therapy.

Counseling can provide judgement-free support to process pain and alleviate deep internal chaos associated with feelings of grief and the mourning process.

A counselor can help explain and validate difficult thoughts and emotions following the loss of a spouse/friend/family member. Therapy facilitates one’s ability to focus on positive memories of the loved one while employing healthy coping strategies.

For additional info. about grief counseling, call (516) 592-1107 or email Chana Pfeifer at TheHappierMe.LCSW@gmail.com.

Divorce Counseling Long Island

Chana Pfeifer, LCSW – Divorce Counseling Long Island, NY

The termination of a marriage can be a process charged with many emotions, and often these feelings seem overwhelming.

Throughout the initiation, proceedings, and aftermath of a divorce, it is helpful to have a judgement free space in which you can communicate your feelings and better understand those of others involved. Whether the decision has been made due to discord within the relationship, infidelity, financial difficulties, abuse, addiction, or other factors, a solution-based divorce counselor can be your balance in a time of chaos.

Some of the anxieties of divorce can cause a wide range of issues, both internally and inter-personally.

Emotional, psychological, and even physical health issues are common reactions to such a monumental life change. Unhealthy coping mechanisms can arise due to the stress and emotional pain of divorce, often leading to increased aggression between parties and acceleration of self-destructive behaviors. When enduring such a dramatic phase change, personal priorities and future plans can become difficult to envision.

During and after the process, both children and adults face the challenges of balancing multiple facets of health whilst in a delicate state.

If children are involved, they may feel additional stress due to the parents’ personal and emotional biases without having anyone outside the family with whom to communicate their concerns. Allowing children to freely express their emotions in a neutral environment can facilitate their adjustment significantly.

Employing the help of a divorce counselor can make the transition more navigable in all aspects of one’s health and success. A counselor can help explain how to overcome emotions such as anger, grief, depression, and insecurity during and after the divorce process.

Unbiased mediation of conflict between spouses is quintessential to healthy progress.

This includes helping you and your former spouse accommodate differing points of view in a way that is mutually beneficial. Through counseling, it is possible to develop a cooperative relationship based on healthy communication.

While you are dealing with the internal stresses that result from divorce, a counselor can help you develop healthy defense mechanisms to protect yourself from undue pain and stress, while strengthening yourself by promoting healthy acclimation to a new future. Communicating in a safe, non-judgmental environment can fortify the health of the entire family. The advice of a counselor can help you face current difficulties and the future with certainty, confidence, and peace.

For additional information, call (516) 592-1107 or email Chana Pfeifer at TheHappierMe.LCSW@gmail.com.

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