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Telehealth has indeed become increasingly prevalent and essential, especially in the wake of the COVID-19 pandemic. Here are some key reasons why telehealth is becoming the new normal:

  • Increased Accessibility: Telehealth allows patients to access healthcare services from the comfort of their homes, making it easier for those in remote or underserved areas to receive quality mental health care.
  • Convenience: Patients can schedule appointments at their convenience without the need to travel, reducing time and effort associated with in-person visits. Also allowing people with mobility issues, or a tight schedule such as mothers and caregivers access to convenient mental health services.
  • Cost-Effectiveness: Both patients and healthcare providers can save on costs related to transportation, facility maintenance and rents, and other overheads associated with traditional healthcare settings.
  • Technology Integration: Advances in technology, such as high-speed internet, mobile devices, and health monitoring apps, have made telehealth more feasible and effective.
  • Mental Health Services: Telehealth has expanded access to mental health services, providing patients with the opportunity to receive therapy and counseling remotely, which can be crucial for those hesitant to seek in-person help.
  • Patient Satisfaction: Studies have shown high levels of patient satisfaction with telehealth services due to the convenience and personalized attention they often receive.
  • Future Potential: The ongoing advancements in telehealth technology, such as AI, remote diagnostics, and telemedicine platforms, suggest that telehealth will continue to evolve and become even more integral to healthcare delivery.

 

If you would like to schedule an appointment for online therapy: SCHEDULE  or call 718 313 4357


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Starting therapy can be a positive step towards improving your well-being. There are some helpful steps you can take prior to therapy, to get you on the right path:

  1. Identify Your Needs: Reflect on why you want therapy. What are your concerns or challenges? Understanding this will help you communicate effectively with a therapist.
  2. Research Therapists: Look for therapists who specialize in the issues you want to address, e.g., anxiety, relationships, trauma. Ask for recommendations from friends or healthcare providers, or check with your insurance company for covered providers.
  3. Consider Logistics: Think about if you prefer in-person sessions, availability, whether they offer appointments that fit your schedule, and affordability including insurance coverage or sliding scale fees.
  4. Prepare for Your First Session: Before your first appointment, jot down some notes about what you want to discuss or achieve in therapy. It’s okay if you’re unsure; your therapist will help guide the conversation.
  5. Be Open and Honest: Therapy is most effective when you can be open and honest with your therapist. They are there to help and provide support without judgment.
  6. Give it Time: Building a trusting relationship with your therapist takes time. Don’t be discouraged if you don’t feel an instant connection or if progress feels slow initially.
  7. Evaluate Progress: Regularly assess how therapy is helping you. Are you feeling more supported? Are you gaining insights into your challenges? If you feel stuck or unsure about your progress, discuss it openly with your therapist.

Remember, finding the right therapist is key. It may take a few tries to find someone you feel comfortable with and who meets your needs. Trust your instincts and give yourself permission to explore until you find the right fit.

SCHEDULE AN APPOINTMENT   |   VIEW THERAPISTS


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Gaslighting is a form of psychological manipulation where a person, often with a narcissistic personality or other manipulative traits, seeks to sow seeds of doubt in a targeted individual or group, making them question their own memory, perception, or sanity. The term originates from the play and film “Gaslight,” where a husband manipulates his wife into doubting her perception of reality.

Key characteristics of gaslighting include:

  1. Denial and Contradiction: The gaslighter denies their own behaviors or actions, even when they are clearly observable, and may contradict the victim’s memories or perceptions.
  2. Twisting and Distorting Information: They selectively present information or events in a way that favors their perspective and undermines the victim’s understanding of the situation.
  3. Blame and Guilt: Gaslighters often blame the victim for misunderstandings or problems, shifting responsibility away from themselves and inducing feelings of guilt or inadequacy in the victim.
  4. Confusion and Misdirection: They may use subtle tactics to confuse the victim, change the subject, or divert attention from their own behaviors by focusing on the victim’s perceived flaws or shortcomings.
  5. Isolation: Gaslighters may isolate the victim from sources of support or validation, making them more dependent on the gaslighter’s version of reality.

Gaslighting can occur in various types of relationships, including personal, professional, or familial settings. Its effects can be profound, leading to anxiety, self-doubt, and a loss of trust in one’s own perceptions. Recognizing gaslighting behavior is crucial for individuals to protect their mental and emotional well-being.

If you suspect you are experiencing gaslighting, seeking support from trusted friends, family members, or a therapist can provide validation and help you regain clarity and confidence in your own reality.


 

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Binge-Eating Disorder (BED) is a serious mental health condition characterized by recurrent episodes of eating large quantities of food, often quickly and to the point of discomfort. It is accompanied by a feeling of loss of control during the binge, followed by distress, guilt, or shame.

Recurrent Episodes of Binge Eating:

  • Eating much more rapidly than normal.
  • Eating until feeling uncomfortably full.
  • Eating large amounts of food when not feeling physically hungry.
  • Eating alone because of feeling embarrassed by how much one is eating.
  • Feeling disgusted with oneself, depressed, or very guilty afterward.

Treatment Options:

  • Cognitive Behavioral Therapy (CBT): The most effective treatment, focusing on changing unhealthy eating behaviors and thoughts.
  • Interpersonal Therapy (IPT): Addresses interpersonal issues contributing to the disorder.
  • Dialectical Behavior Therapy (DBT): Helps manage emotions and reduce binge-eating episodes.

Lifestyle Changes and Coping Strategies:

  • Encouraging regular physical activity and stress management techniques.
  • Mindful Eating: Paying attention to the eating experience, hunger, and satiety cues.
  • Stress Reduction Techniques: Practicing yoga, meditation, or deep-breathing exercises.
  • Building a Support Network: Involving family and friends in the recovery process.

Understanding and addressing Binge-Eating Disorder involves a comprehensive approach that includes medical, psychological, and nutritional support. Early intervention and ongoing support are crucial for effective management and recovery. Focusing on small, achievable changes rather than drastic diet plans. Join a support group with people in similar situations. 

ONLINE SUPPORT GROUP:  https://bcsnygroup.com/group-therapy/managing-binge-eating-disorder/


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Support from friends and family plays a significant role in recovery and well-being for those experiencing mental illness, support that requires understanding and empathy.

Practical Tips and Emotional Guidance

  • Offering Emotional Support
    Listen actively: Provide tips on how to actively listen to your loved one without judgment or interruption.
    Validate their feelings: Acknowledge their emotions and reassure them that it’s okay to feel the way they do.
    Offer encouragement: Provide words of encouragement and support to boost their morale.
  • Educate Yourself
    Take the initiative to educate yourself about your loved one’s specific mental illness.
    Understand symptoms, triggers, treatment options, and available resources.
    Knowledge empowers you to provide more effective support.
  • Encouraging Treatment and Seeking Professional Help
    Encourage your loved one to seek professional help if they haven’t already.
    Offer to assist them in finding a therapist, psychiatrist, or support group.
    Support them throughout their treatment journey, including attending appointments together if appropriate.
  • Setting Boundaries
    Emphasize the importance of setting healthy boundaries while providing support.
    Understand your own limitations and prioritize self-care to avoid burnout.
  • Be Patient and Understanding
    Mental illness can be unpredictable, and recovery takes time.
    Be patient and understanding, and avoid placing pressure on your loved one to “get better” quickly.
  • Encouraging Self-Care
    Encourage your loved one to prioritize self-care activities that promote mental well-being, such as exercise, hobbies, and relaxation techniques.
    Lead by example and engage in self-care practices yourself.
  • Connecting with Support Networks
    Encourage your loved one to connect with support networks, such as support groups or online communities.
    Offer to accompany them to meetings or help them find resources.

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One of the most fulfilling and rewarding part of my life is mentoring mental health care providers, providing guidance and support, playing a vital role in shaping the next generation of mental health professionals and ensuring high-quality care for people and families in need.

  • Sharing Knowledge and Experience: Draw upon your own experiences and expertise in the mental health field to provide guidance and advice to mentees. Share insights, best practices, and lessons learned from your own professional journey.
  • Clinical Supervision: Offer clinical supervision to mentees, providing guidance and oversight as they work with clients or patients. Help them develop their clinical skills, therapeutic techniques, and treatment planning abilities.
  • Professional Development: Support mentees in their professional growth and development. Help them identify areas for improvement and create a plan for continuing education, training, and skill enhancement.
  • Ethical Considerations: Discuss ethical dilemmas and professional standards with mentees, helping them navigate complex ethical issues that may arise in their work with clients. Emphasize the importance of adhering to ethical guidelines and maintaining professional boundaries.
  • Self-Care and Burnout Prevention: Educate mentees about the importance of self-care and burnout prevention in the mental health field. Help them develop strategies for managing stress, maintaining work-life balance, and prioritizing their own well-being.
  • Supervisory Skills: If mentoring individuals who are pursuing careers in clinical supervision themselves, provide guidance on effective supervisory techniques, feedback delivery, and mentorship strategies.
  • Networking and Professional Connections: Help mentees build professional networks and establish connections within the mental health community. Facilitate introductions to colleagues, organizations, and professional associations that can support their career development.
  • Feedback and Reflection: Offer constructive feedback to mentees and encourage self-reflection on their clinical practice, professional growth, and personal development. Create a supportive environment where mentees feel comfortable discussing challenges, mistakes, and areas for improvement.
  • Advocacy and Leadership: Encourage mentees to advocate for the mental health profession and take on leadership roles within the field. Support their efforts to promote mental health awareness, reduce stigma, and advocate for policies that improve access to mental health care.

Nicoletta Pallotta, MD, LCSW-R
Private Practice CEO. Mentor. Women’s Advocate.


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Younger adults today often face unique stressors compared to previous generations. Factors such as economic uncertainty, student loan debt, job market competitiveness, social media pressure, and the fast pace of modern life can contribute to increased stress levels among young adults.

Reasons why younger adults might be experiencing more stress:

  • Financial Pressures: Rising living costs, stagnant wages, and student loan debt can create financial stress for younger adults.
  • Career Uncertainty: The job market is highly competitive, and many young adults face challenges in finding stable employment or pursuing their desired career paths.
  • Social Media: While social media can be a great way to connect, it also creates pressure to present a perfect image and can lead to feelings of inadequacy or FOMO (fear of missing out).
  • Education Pressures: The pressure to excel academically, whether in high school, college, or graduate school, can be intense and contribute to stress and anxiety.
  • Relationships: Building and maintaining relationships, whether romantic or platonic, can be challenging, especially with the added pressures of modern dating culture.
  • Health Concerns: Young adults may face health concerns such as mental health issues, substance abuse, or chronic illnesses, which can exacerbate stress levels.
  • Global Issues: Concerns about climate change, political instability, and other global issues can also weigh heavily on the minds of younger adults.

It’s important for younger adults to prioritize self-care, seek support when needed, and develop healthy coping mechanisms to manage stress effectively. Additionally, societal support systems, such as affordable healthcare, mental health resources, and access to education and job opportunities, play a crucial role in helping alleviate stress among younger generations.


 

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nar·cis·sist
noun:  a person who has an excessive interest in or admiration of themselves.

Common Narcissist Characteristics

  • Inflated Ego.
  • Lack of Empathy.
  • Need for Attention.
  • Repressed Insecurities.
  • Few Boundaries.

A Narcissistic Partner

A Narcissist will often deploy a variety of behaviour patterns such as control, manipulation, and exploitation to ensure that their own relationship needs are met. As the partner you could be the subject of their manipulation and abuse, while they treat everyone else with respect.

Narcissistic partners act as if they are always right, that they know better and that their partner is wrong or incompetent, resulting in their partner feeling angry, trying to defend themselves or identifying with this negative self-image and feeling badly about themselves. A Narcissist will purposefully do things to destroy your happiness and relaxing moments, or to prevent you from doing something as simple as sleep, in order to have control. While being the target of narcissistic abuse is stressful and hurtful, many narcissists are unaware of how their actions impact others. If they are aware that others feel negatively about them or about their choices, they often lack the ability to take responsibility for their actions or see them as wrong.

Narcissists are also drawn to those who can boost their own self-esteem and validate their sense of importance,being associated with someone who is successful or admired can make the narcissist feel more important by proxy.

Gaslighting

There are four primary types of gaslighting behaviors: the straight-up lie, reality manipulation, scapegoating and coercion. Often it’s a combination of these behaviors. Narcissistic Gaslighting may include suggesting you’re “confused,” “mixed up” or “misremembering.” or saying something like, “I have no memory of that” or, “I don’t know what you’re talking about.”

If you think your Partner is Gaslighting you, consider these red flags: a. You are excessively questioning yourself.  b. You’re constantly feeling confused.  c. You’re frequently thinking you must be perceiving things incorrectly. d.  You feel your partner is lying to you about things that are very obvious and expecting you to believe them. Gaslighting can undermine your sense of reality, making it difficult for you to trust your own thoughts and feelings.

But be assured, this is not your fault, and it’s not a healthy relationship.

No matter if it’s a work colleague, a romantic partner, a friend, a sibling, or someone else in your life, let them know that they are Gaslighting you (they may be unaware) and that you won’t stand for that kind of manipulative, emotional abuse. Leaving an abusive relationship with a narcissist is tough, but it is possible as long as you trust your gut and have firm boundaries, and keep reminding yourself why you need to walk away.

 

 

 


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Women’s support groups offer numerous benefits, offering a valuable source of support, encouragement, and empowerment for women facing various challenges in their lives.

  • Emotional Support: Support groups provide a safe space for women to express their feelings, share experiences, and receive empathy and understanding from others who can relate to their struggles. This can help reduce feelings of isolation and loneliness.
  • Validation: Being part of a support group can validate women’s experiences, feelings, and concerns. Feeling understood and validated by others can boost self-esteem and confidence.
  • Sharing Knowledge and Information: Women’s support groups often provide opportunities to exchange practical advice, resources, and information about various topics such as health, relationships, parenting, career advancement, and personal development.
  • Building Coping Skills: Through interactions with others in similar situations, women can learn effective coping strategies for dealing with challenges and stressors in their lives.
  • Empowerment: Support groups can empower women by providing them with a sense of belonging, fostering self-awareness, and encouraging them to take control of their lives and make positive changes.
  • Reducing Stigma and Shame: Discussing sensitive issues in a supportive environment can help reduce the stigma and shame often associated with topics such as mental health, addiction, abuse, and other personal struggles.
  • Social Connection: Support groups offer opportunities for women to develop meaningful relationships and friendships with others who share similar experiences and interests. These connections can provide a sense of belonging and community.
  • Role Modeling and Inspiration: Seeing other women overcome challenges and achieve personal growth within the support group can serve as inspiration and motivation for members to work towards their own goals.
  • Accountability: Support groups can provide accountability and encouragement for members to follow through with their goals and commitments, whether it’s related to self-care, personal development, or making positive lifestyle changes.
  • Improved Mental Health: Research has shown that participation in support groups can lead to improvements in mental health outcomes such as reduced symptoms of depression, anxiety, and stress.

Please let us know if you would be interested in an Online (live video chat), Women’s Empowerment / Support Group?


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Trauma and adversity can have profound and long-lasting effects on mental health. The impact can vary depending on factors such as the nature, severity, and duration of the trauma, as well as the individual’s resilience and support systems.

  • Post-Traumatic Stress Disorder (PTSD): Exposure to traumatic events such as physical or sexual abuse, natural disasters, or combat can lead to PTSD. Symptoms may include flashbacks, nightmares, severe anxiety, and avoidance of reminders of the trauma.
  • Depression and Anxiety Disorders: Trauma can significantly increase the risk of developing depression and various anxiety disorders. Chronic stress from adverse experiences can dysregulate the brain’s stress response systems, leading to persistent feelings of sadness, hopelessness, and fear.
  • Substance Abuse: Many individuals turn to drugs or alcohol as a way to cope with the distress caused by trauma. Substance abuse can develop as a maladaptive coping mechanism and can exacerbate existing mental health issues.
  • Attachment Disorders: Early childhood trauma, such as neglect or abuse, can disrupt the formation of secure attachments with caregivers. This can lead to attachment disorders characterized by difficulty forming and maintaining healthy relationships, trust issues, and emotional dysregulation.
  • Dissociative Disorders: Severe trauma, particularly in childhood, can lead to dissociative disorders such as dissociative identity disorder (DID) or depersonalization/derealization disorder. These disorders involve disruptions in consciousness, memory, identity, and perception of reality as a way to cope with overwhelming experiences.
  • Self-Harm and Suicidal Behavior: Trauma survivors may engage in self-destructive behaviors such as self-harm or have thoughts of suicide as a way to cope with emotional pain or feelings of worthlessness.
  • Chronic Health Conditions: Trauma and chronic stress have been linked to an increased risk of developing physical health conditions such as cardiovascular disease, autoimmune disorders, and chronic pain syndromes.
  • Cognitive Impairments: Trauma can impact cognitive functioning, including memory, attention, and executive functioning. This can manifest as difficulties in concentration, decision-making, and problem-solving.
  • Emotional Dysregulation: Trauma survivors may experience difficulty regulating their emotions, leading to mood swings, impulsivity, and intense emotional reactions to triggers or stressors.

It’s important to note that while trauma can have profound negative effects on mental health, individuals can also demonstrate resilience and recovery through appropriate support, therapy, and coping strategies. Early intervention and access to trauma-informed care are crucial in addressing the mental health needs of trauma survivors.

 

If you need help or want to talk to a professional about a trauma or adversity you are experiencing: APPOINTMENTS