Social Anxiety | AFFORDABLE COUNSELING & MEDICATION

Seeking Compensation: Physical vs Mental Pain

Posted on June 22, 2016June 22, 2016 by Dr Mark Parisi

When it comes to the court room we are quite familiar with law suits over physical injuries like broken bones and bruises but are you aware of the many law suites occurring over mental pain as well? Law suits are filed every day on behalf of mental pain such as anguish, emotional distress, post-traumatic stress disorder, depression, and so on. But do these victims seeking mental compensation win battles within the court room just as well as those seeking compensation for physical pain do?

In a 2008 Texas case 17-year-old Laura Schubert sought compensation for injuries she suffered during an exorcism. Her injuries included physical- cuts and bruises and also mental- mental anguish, post-traumatic stress disorder, depression, and a suicide attempt. The court ruled in favor of compensation for her physical injuries but not for her mental pain. (1) But why? Is there a double standard? Does physical pain somehow trump mental pain?

Prove it. It certainly is not that mental pain is not comparable to physical pain. We certainly know that feelings of depression, loss, anger, etc. can hurt worse than a scrape or bruise at a times. The challenge is proving your mental pain within a court room. Unlike physical pain you cannot simply submit a photo of a marking on your arm for the jury to examine. Proving mental pain is far more challenging.

Jurors especially are apprehensive to leaning in the favor of mental pain compensation because there is the potential for deceivers to lie and profit from it. Not only do you have to prove it, but you have to make the jury believe your plea.

Make the connection. In order for a ruling to go in the favor of providing compensation for mental pain, the courtroom must first make the connection between physical and mental pain. Many of the uneducated public do not understand that physical health issues like diabetes can cause mental issues such as depression and anxiety, according to the American Psychological Association. (2) These connections are what will award you appropriate compensation.

While there may be a small double standard within the court room when it comes to physical pain vs. mental pain compensation, it’s our job to inform the public. By teaching the mass population about the pain experienced mentally after incidents and its connection to physical issues we can pave the way to a fairer courtroom, without the double standard for all.

Mark D. Parisi, Psy.D. & Associates, P.C. provides counseling, psychological testing, and psychotropic medication management in Mount Prospect and Chicago – serving surrounding Cook, Lake, DuPage, and Will Counties. They accept most insurance and offer extremely affordable sliding scale rates. Call (847) 909-9858 for a free, no-obligation telephone consultation.

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Sources:

Physical vs. Mental Pain: A Legal Double Standard?, Information on 2008 Texas case, 2009, http://www.apa.org/monitor/2009/02/jn.aspx
Physical vs. Mental Pain: A Legal Double Standard?, Physical can cause mental, 2009, http://www.apa.org/monitor/2009/02/jn.aspx

Coping with PTSD as a Family

Posted on April 18, 2016April 18, 2016 by Dr Mark Parisi

PTSD, or post-traumatic stress disorder, is an anxiety problem that develops in some people after extremely traumatic events, such as combat, crime, an accident or natural disaster, according to the American Psychological Association. (1) PTSD is often acted out through nightmares, hypervigilance, flashbacks, anger, or depression and can often complicate close relationships like families.

According to the American Psychological Association (APA), PTSD is considered one of the mental health conditions most likely to lead to relationship problems (2) but families can find hope in learning new ways to cope.

Stress management skills. Families should take the time to learn stress management skills. These skills may include eating healthy, getting active, allowing for alone time, getting adequate sleep, and establishing necessary support. By learning these skills as a family you can help one another along the way.
Realizing everyone is impacted. In most scenarios, one family member, often mom or dad, is diagnosed with PTSD- not the entire family. But this does not mean that others are not affected too. In fact, the APA stresses that everyone in the family is affected by PTSD even if it’s not apparent at first or some members aren’t as quick to show it.
Everyone processes trauma differently. Like with many emotions, there are a variety of ways to process trauma. Not everyone will react in the same way as you. Realizing this will help you understand one another and in return, be able to offer help when needed. Just because someone doesn’t handle trauma in the same way you do, does not mean they aren’t experiencing affects.
Establishing a universal plan. Together, families need to establish a plan. How are you going to address the event to outside family and friends? Especially for emotional traumas such as rape or abuse, this step can be important to healthy coping. Establish a universal plan that everyone agrees with.

To families experiencing it, PTSD is so much more than a stress disorder. It’s a mental illness that threatens to tear their family apart. By turning to each other to cope instead of trying to tackle extreme traumas individually you can better help lessen the relationship effects of PTSD. Coping with PTSD as a family means learning stress management skills, realizing everyone is impacted and processes trauma differently, and establishing a universal plan. Together you can cope, conquer, and thrive as a family despite PTSD.

Mark D. Parisi, Psy.D. & Associates, P.C. provides counseling, psychological testing, and psychotropic medication management in Mount Prospect and Chicago – serving surrounding Cook, Lake, DuPage, and Will Counties. They accept most insurance and offer extremely affordable sliding scale rates. Call (847) 909-9858 for a free, no-obligation telephone consultation.

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Sources:

Post-Traumatic Stress Disorder, Definition of PTSD, 2015, http://www.apa.org/topics/ptsd/index.aspx
Helping Families Cope with PTSD, Relationship impact of PTST, 2015, http://www.apa.org/monitor/jan08/helping.aspx

5 Ways to Better Cope with Stress

Posted on April 15, 2016April 15, 2016 by Dr Mark Parisi

Today, chronic stress- stress that interferes with your ability to function normally over an extended period- is becoming a public health crisis, according to the American Psychological Association (APA). (1) Caused by a variety of triggers such as money, work, the economy, job stability, personal health, and even family responsibilities, stress is wreaking havoc in the lives of most Americans these days. But what can we do to better cope?

According to the Centers for Disease control, “The best ways to manage stress in hard times are through self-care.” (2) To help you better understand exactly what I mean by “self-care” here are 5 ways to better cope with stress in your personal life today.

Find support. Weather from a partner, friend, counselor, doctor, or close family member finding the support you need is critical to coping with stress in a healthy way. Choose someone who is willing to listen to you without judgement, offering constructive advice when needed.

Stay connected. When times of high stress arise it’s far too easy to isolate yourself socially but isolation is not the answer. Instead choose to spend those times with a group of close loved ones you can find support in.

Say “No” to drugs and alcohol. While both drugs and alcohol are popular coping mechanisms for a number of problems as a quick, temporary fix they tend to create a snowball of problems in the long term. Simply say, “No.”

Get active. A 2015 study comparing stress and exercise found that one year of physical exercise intervention improved mental well-being among working adults. (3) To better cope with stress, get active through exercise. Join a gym, take a jog, become part of a favorite team-sport. How you choose to be active is not important, simply being active is.

Eat healthy. You know what they say, “We are what we eat.” By striving to eat a healthy, well-balanced diet you can prepare your body to better cope with stress naturally. Choose foods high in protein and low in sugars and carbs along with lots of healthy fruits, vegetables, and nuts.

And as a bonus…

Take a break. Far too many people are constantly going with the petal pressed to the floor, speeding through life. Sometimes the best way to deal with an overabundance of stress is by taking a break. This means a vacation, time off from work, or maybe just a night to yourself. Don’t be afraid to allow yourself a break every now and then. It’s good for you!

With stress impacting so many Americans today in ways that make life far more difficult to live, it’s time to fight back. Whether it’s money, work, the economy, job stability, personal health, family responsibilities, or something else learning how to best cope with stress can make all the difference. By finding support, staying connected, refraining from both drugs and alcohol, eating healthy, and of course- allowing yourself to take a break when needed you can not only change the way you respond to stress, but also decrease the amount of stress you experience. And who doesn’t want less stress?

Mark D. Parisi, Psy.D. & Associates, P.C. provides counseling, psychological testing, and psychotropic medication management in Mount Prospect and Chicago – serving surrounding Cook, Lake, DuPage, and Will Counties. They accept most insurance and offer extremely affordable sliding scale rates. Call (847) 909-9858 for a free, no-obligation telephone consultation.

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Sources:

Stressed in America, Chronic stress crisis, 2011, http://www.apa.org/monitor/2011/01/stressed-america.aspx
Managing Stress, Self-care for stress quote, 2012, http://www.cdc.gov/features/handlingstress/
A 12-Month Exercise Intervention Decreased Stress Symptoms and Increased Mental Resources Among Working Adults, Get active study, 2015, http://www.ncbi.nlm.nih.gov/pubmed/26159956

Helping Children Cope with Tragedy

Posted on March 23, 2016March 23, 2016 by Dr Mark Parisi

It’s unfortunate today, how tragedy has become such a routine part of our lives. Whether on a small scale, such as the death of a loved one or on a national scale with the influx of terrorism, tragedy is hitting home far more frequently than ever before in our history. We would be gullible to believe these tragedies aren’t affecting our children too.

Helping children understand, cope, and live through tragedy can be challenging but it’s important they know they are not alone. Teaching them how to move forward in a positive manner is key to them living a successful adult life as a member of society. To better equip you, here’s how to help children cope with tragedy.

Recognize. The first step in helping a child cope with tragedy is being able to recognize the signs of disaster-related stress. According to FEMA, these signs could include difficulty communicating thoughts, difficulty sleeping, limited attention span, headaches/stomach problems, colds or flu-like symptoms, depression, fear, or overwhelming guilt. (1)
Communicate. While it may be difficult at first, it’s important to keep communication open between you and your child. Encourage them to share their thoughts and feelings about the tragedy including how it made them feel. And answer any questions they may have honestly. Maintaining a calm persona will help them feel at ease.
Listen. As your child shares their feelings about the incident with you it’s important that you listen intently. “It’s also key to listen closely to your child for misinformation, misconceptions, and underlying fears,” according to the Mayo Clinic. (2) Turning an ear to these details can better help you correct any misinterpretations and reassure them of any concerns of new fears they may have.
Limit. For coping with large, media-based tragedies, it may be best to limit your child’s time spent listening or watching media. This allows you to control exactly what your child sees and hears about the event.
Seek help. Parents should never be afraid to seek help for their child. By finding a professional to speak to you can better help your child cope with the tragedies happening around them. A professional will also be able to direct you and provide additional tips for assisting your child.

Tragedies happen almost on a daily basis it seems. No matter how small or large a tragedy may be, it’s important to take the time to help your child cope. They are likely fearful, sad, and unsure. By recognizing these stress signs, opening up communication and listening, limiting their media exposure, and seeking help you can offer your child the loving support they need.

Mark D. Parisi, Psy.D. & Associates, P.C. provides counseling, psychological testing, and psychotropic medication management in Mount Prospect and Chicago – serving surrounding Cook, Lake, DuPage, and Will Counties. They accept most insurance and offer extremely affordable sliding scale rates. Call (847) 909-9858 for a free, no-obligation telephone consultation

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Sources:

Coping With Disaster, Disaster-related stress signs, 2015, https://www.fema.gov/coping-disaster
Helping Children Cope, Listen closely quote, 2012, http://www.mayoclinic.org/healthy-lifestyle/childrens-health/in-depth/helping-children-cope/art-20047029

How to Recognize the Signs of Schizophrenia

Posted on March 11, 2016March 12, 2016 by Dr Mark Parisi

About one in 100 Americans are diagnosed with schizophrenia, a treatable serious mental illness that affects a person’s thoughts, feelings, mood, and overall functioning according to the American Psychological Association (APA). (1) With statistics like that, it’s a wonder why the mass public isn’t more educated about schizophrenia.

Schizophrenia is often diagnosed through early adulthood in teens and early 20s and is rarely identified later in life. At first many of the symptoms of schizophrenia may go unnoticed but by knowing what to look for and recognizing signs you can receive early treatment. To help you learn more about this mental illness and how to detect it, here’s how to recognize the signs of schizophrenia.

Trouble thinking logically. People with the onset of schizophrenia sometimes have trouble thinking logically. This may include making informed decisions, as well.
Difficulty paying attention. A short attention span, or the struggle to stay focused on one event can be a potential sign of schizophrenia. Because difficulty paying attention is a symptom for a variety of illnesses and disorders it’s important that it is paired with other symptoms as well before concluding schizophrenia.
Working memory problems. Because schizophrenia is a mental illness it has the ability to impair ones’ working memory, or more commonly known as short term memory. Forgetting recent events like where you set your keys or what you ate for lunch earlier that day are both examples of short term memory.
Hallucinations. A more serious sign of schizophrenia is experiencing hallucinations. These hallucinations often include hearing voices or seeing things that others do not see.
Speaking little. If you are typically a chatter box but recently don’t have the desire to speak much, there may be an underlying problem. Speaking little is another sign of schizophrenia.
Repetitive body movements. Agitated or repetitive body movements are common in those who suffer with schizophrenia. These movements can be seen as repetitive movements being performed over and over again.
False beliefs. As part of the thought disorder, false beliefs that may seem odd or wrong are believable to you even after loved ones try to redirect your thinking. These thoughts often do not line up with the person’s typical thinking and may make little to no sense.
Difficult to understand. As a person with schizophrenia struggles to organize their thoughts their speech can become jumbled and difficult to understand. They may even make up meaningless words or stop talking midsentence.

Coping with any mental illness is a struggle, including schizophrenia. But with 1 in every 100 Americans diagnosed with schizophrenia it’s time to better educate the public about what to look for. It’s important to note that treatment helps relieve many symptoms of schizophrenia and many people with the illness continue to lead rewarding and meaningful lives in their communities, according to the National Institute of Mental Health. (2) Learning how to recognize signs of schizophrenia is the first step toward treatment and the start to living that rewarding and meaningful life.

Mark D. Parisi, Psy.D. & Associates, P.C. provides counseling, psychological testing, and psychotropic medication management in Mount Prospect and Chicago – serving surrounding Cook, Lake, DuPage, and Will Counties. They accept most insurance and offer extremely affordable sliding scale rates. Call (847) 909-9858 for a free, no-obligation telephone consultation

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Sources:

Recognizing the Signs of Schizophrenia, Schizophrenia statistics and definition, 2015, http://www.apa.org/helpcenter/recognizing-schizophrenia.aspx
What is Schizophrenia?, Schizophrenia treatment, 2015, http://www.nimh.nih.gov/health/topics/schizophrenia/index.shtml

3 Ways to Help Prevent Depression in School Age Children

Posted on January 12, 2016January 12, 2016 by Dr Mark Parisi

While many of us are familiar with ways to both control and cope with depression symptoms, you may be surprised to learn that research findings show we may also be able to help prevent them. According to the American Psychological Association (APA) psychologists Jane Gillham, Lisa Jaycox, Karen Reivich, and Martin Seligman all set out to prove just that (1).

The APA continues to state that through their school based prevention program the team of psychologists were able to reduce the number of depressive symptoms and improve overall classroom behavior in participating young people (2). It’s time for parents, teachers, and caregivers alike to turn their attention from controlling to preventing depression in school age children.

To better equip you, here are 3 ways to help prevent depression in the school age children closest to you.

1. Encourage strong, caring relationships early on.
When it comes to preventing depression in children, providing a valuable foundation consisting of strong, caring relationships with parents, teachers, relatives, and even community early on is key. According to a 2014 Delphi Consensus study, “The family setting, particularly parents, is a strategic target for preventive interventions for youth depression and anxiety disorders.” (3)

Help to prevent adolescent depression by simply encouraging strong, caring relationships from the start.

2. Leaving space for living life.
Far too often, caregivers opt to become helicopter parents, or simply parents who hover over their child’s every move, in hopes of protecting children not only from scrapes and bruises but also depression. Unfortunately, helicoptering is not the answer. Instead, leave space to allow them to live life through trial and error. Allow them to make mistakes, learn new things, chase after dreams, and yes, even get a few scrapes and bruises along the way.

Allowing them to experiment teaches them how to maneuver through both triumph and failure in a healthy way.

3. Establish open and honest communication.
Promoting communication that is both open and honest within your home, classroom, or other area of inhabitance is a proactive way to help prevent the development of depression. By doing so you can create an atmosphere where children feel comfortable both sharing and exploring the link between thoughts and feelings just as participants in The Penn Resiliency Project, the school based program developed by psychologists to prevent depression, did. (4)

With depression on the rise it only makes sense that parents, teachers, and caregivers alike would want to turn those increasing frowns upside down. Luckily, the prevention of depression in school age children is hopeful. You can do your part by simply encouraging strong caring, relationships, leaving space to live, and establishing open and honest communication. Together we can help transform depression one smile at a time.

Mark D. Parisi, Psy.D. & Associates, P.C. provides counseling, psychological testing, and psychotropic medication management in Mount Prospect and Chicago – serving surrounding Cook, Lake, DuPage, and Will Counties. They accept most insurance and offer extremely affordable sliding scale rates. Call (847) 909-9858 for a free, no-obligation telephone consultation.

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Sources:
1. School-Based Program Teaches Skills That Stave Off Depression, School-Based program findings, 2003, http://www.apa.org/research/action/school.aspx
2. School-Based Program Teaches Skills That Stave Off Depression, School-Based program findings, 2003, http://www.apa.org/research/action/school.aspx
3. Parenting strategies for reducing the risk of adolescent depression and anxiety disorders: a Delphi consensus study, Strong relationships quote, 2014 http://www.ncbi.nlm.nih.gov/pubmed/24359862

Newly Single? How to Cope.

Posted on December 29, 2015December 29, 2015 by Dr Mark Parisi

The majority of people have experienced at least one break up. In fact, a study in 2011 showed that 37% of people ages 18 to 35 had been through at least one break up in the past 20 months (1). Regardless of the circumstances or the length and seriousness of the relationship, breaking up is hard to do. The mental and social side effects can sometimes be devastating. What can you do to make it easier on yourself?

Emotional

After a break-up, you will most likely be swarmed with emotions – anger, resentment, depression, heart-break, etc. These emotions need to be addressed, not repressed. When trying to get your feelings out, make sure it is done in a productive way. Yelling and venting to a friend is not going to be very beneficial. Instead, many experts suggest writing as a means of therapy (2). When you write, you take time to form your thoughts instead of thinking and speaking irrationally. Writing also gives you the chance to go back and analyze your feelings and to see how far you have come from where you were immediately after the break up.

Another way to cope with these feelings is to stay active. Not only is physical activity beneficial to the mind and body, staying active will keep you busy, which means you will have less time to dwell on the break up. Another helpful idea is to find someone to confide in. But don’t pick just anyone – make sure it is something that you trust to give you sound advice and comfort.

Socially

Depending on where you met your significant other, the social aspect may be a problem. You may have mutual friends, making it difficult and tense to be around those friends. You may work with him, making work more stressful and awkward. However, this problem may give you a chance to branch out; meeting new people and trying new things may be just what you need.

Personally

Because relationships can give a person meaning and purpose, a break up might cause you to feel less satisfied with your life. Discontentment can lead to bitterness and will not have any positive outcome, so do your best to avoid it. A person’s reaction to a break up can greatly affect the future. Those who have a positive outlook and desire to look for someone new are less likely to be affected by depression and low self-esteem. Remember also that a break up can actually benefit you in many ways. Being newly single gives you a chance to re-evaluate your life and what is important, and it can help you find your identity as an individual. Finding the positives in a break up can make your future relationships even stronger.

No matter how you deal with a break up, there is one essential: do not let your break up define you.

Mark D. Parisi, Psy.D. & Associates, P.C. provides counseling, psychological testing, and psychotropic medication management in Mount Prospect and Chicago – serving surrounding Cook, Lake, DuPage, and Will Counties. They accept most insurance and offer extremely affordable sliding scale rates. Call (847) 909-9858 for a free, no-obligation telephone consultation.

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Sources:

Breaking Up Is Hard To Do, Statistics and effects of a break up, 2011, http://www.ncbi.nlm.nih.gov/pubmed/21517174
Break Ups Aren’t All Bad, Ways to cope, 2009, http://www.apa.org/research/action/romantic-relationships.aspx

#Antisocial: How the Hashtag is Killing Personal Relationships

Posted on August 28, 2014August 19, 2014 by Dr. Mark Parisi

Look around you. You see it everywhere. The phone. The earphones. The tablet. And the distracted patrons who don’t even take a second to look up. There are even businesses that are posting signs stating cell phone use is prohibiting in the checkout line or in the doctor’s office. We are having to specifically be asked to interact with those in front of us. The never ending technology in our world has done many great things for us, but there are some negative impacts on your social life.

You may have thousands of friends or followers on your “social” media, but are those relationships impacting the ones around you? Do you unplug for those who truly mean something to you? The ones who are in front of you?

When sitting at a restaurant watching others, I did not see a single table where a cell phone wasn’t used. In many cases, couples were sitting right across from each other, both looking at their phone and not speaking to one another, not even putting it down to eat. They are being social but not with the people they are with. The danger here is that we start losing touch with the people in our lives because we simply don’t get off the phone or take off headphones to talk and give the other person our time and attention. As a marriage and family therapist, I know many couples in trouble usually would be better off if they just paid a little more attention to the other person.

Now let me state that I do feel that technology and social media all have an important place in our lives and world. I am not saying it should be banned or not used. As a Chicago counselor, my concern is finding that balance. People are starting to feel isolated from one another because of a false sense of connection. Emails, mobile phones and social media are valuable methods of communicating information and are a great business too, but people are still very social creatures and need to interact with a live people who can read emotion in their face, touch each other’s hand, give a consoling hug, or a celebratory high five. We need real interaction and personal relationships, and more important, we need to build and sustain the existing ones in our lives. If you want someone to know they are important to you, you must show them. You must give them attention, and devote quality time to being with them (not your phone).

Chicago and the surrounding area (Des Plaines, Arlington Heights, Schaumburg, Barrington, Hinsdale, Skokie, Lincolnwood, Park Ridge, and Wilmette) is full of social places. So as we are approaching the end of our summer, let’s all make a conscious effort to relate deeper and make time for the people in front of us. Talk to a stranger. Make a new friend. Break out of your shell and see what it does for you.

If you have a relationship that needs further nourishing, you can contact any of our affordable psychologists and marriage and family therapists in Chicago.

Ways to Reduct Your Anxiety NOW!

Posted on May 15, 2014June 20, 2014 by Dr. Mark Parisi

We all have time in our lives where we can feel the stresses of life creeping up on us. When we think of anxiety, we usually think of apprehension over an upcoming event of some kind. This can be a life change, a big meeting, a move, dinner with the in-laws, or anything that causes you to feel a little anxious.

The events that makes us anxious will be different for everyone, but it can is a real problem that can cause real physical symptoms. When truly anxious, you may experience an increased heart rate, sleep problems, sweating, mood swings, and lack of concentration.

As stressful as all that sounds, there is good news. Dr. Parisi and Associates have some tips for you to reduce your anxiety now.
Of course, if you feel that you are dealing with extreme anxiety or more than the typical symptoms, contact Dr. Parisi and Associates for a low cost psychiatrist in Chicago to help you assess the problem.

Catch some Zzzzzzs. I know, I know, we just said that sleep can be hard when you are feeling anxious, but it is important to keep with your routine and try to be consistent in your sleeping pattern. Catching that beauty rest is so important to help your body function properly. Shoot for seven to nine hours every night.

Be positive. When we feel anxious, it is easy for those negative thoughts and feelings to creep over us. Make sure you are in control of your thoughts and focus on the good in life, especially when those feelings are directed at yourself.

Plan ahead. This one will make you feel more in control of your situation. Do the simple things that you have complete control over. Set out your clothes, make a schedule, follow your to-do list, pack lunches the night before. Start building habits that increase productivity in your daily routines. These are smalls steps that help ward off anxiety when something uncontrollable pops up (which we know happens, it is called life).

Exercise and eat right. When you don’t feel well, anxiety and stress can have ben more control over you. Use food as fuel and not a way to cope. Exercise is a great way to burn off a little extra steam and wash away the day. You will feel great when you are done.
Breathe. No, seriously, just sit there and focus on your breathing and nothing else. Nice deep breaths in a quiet space. Inhale. Exhale. Inhale. Exhale. Doesn’t that feel nice?

Most Important…
STAY IN THE MOMENT. No one can control the future. Don’t waste time worrying about something that might happen in the future and enjoy the moments you are living right now.

For more help, contact Dr. Parisi in the Chicago and surrounding areas including Des Plaines, Arlington Heights, Schaumburg, Barrington, Hinsdale, Skokie, Lincolnwood, Park Ridge, and Wilmette.