Baby, sweet baby, you're my drug
Come on and let me taste your stuff
Baby, sweet baby, bring me your gift
What surprise you gonna hit me with
I am waiting here for more
I am waiting by your door
I am waiting on your back steps
I am waiting in my car
I am waiting at this bar
I am waiting for your essence
Baby, sweet baby, whisper my name
Shoot your love into my vein
What Is Sex Addiction?
In my practice I often get phone calls asking if I treat sex addiction. It is my experience the term means different things to different people. The majority of calls come from men. Often it involves an individual who has had extra martial affairs, is obsessed with internet pornography, put himself in a sexually compromising and/or illegal position, cannot stop sexual urges or fantasies, or suffers from excessive masturbation. All of these behaviors interfere with daily responsibilities and put strain on relationships, resulting in psychological distress to themselves and their families. In some instances, it is the spouse that demands their partner seek profession help or face consequences such as separation or divorce.
The History Of Sex Addiction
Different names have been used to characterize individuals who engage in excessive and at times deviant sexual activities. Labels such as Don Juanism, nymphomania, satyriasis, erotomania, hypersexuality, impulsive disorder, overactive sex drive has been around for along time. The term “sex addiction,“ however, did not arise on the scene until the 1970s. It was originally coined by members of Alcoholics Anonymous who set out to apply their 12 step principles toward sexual recovery. In a similar vein as alcoholics, they identified those who suffered from excessive and disruptive sexual activities as being physiologically dependent. Based upon the AA paradigm, they believed that sex addicts cannot be cured; but rather their disease can only be controlled by complete abstinence. To suppress their sexual dependence, members must acknowledge the disease is greater than themselves, surrender to a higher power, participate in group meetings in order to muster up the collective power to battle the disease one day at a time. With the popularity of the 12 step movement, numerous organizations formed that follow the AA doctrine - - Sex Addicts Anonymous, Sexaholics Anonymous, Sex and Love Addicts Anonymous, Sexual Compulsive Anonymous and Sexual Recovery to name a few.
Is Sex Addiction A True Addiction?
As these organizations expanded and continued to help many people, its fundamental premise has been called into question by many in the mental health communities. Neither the American Psychiatric Association, the American Psychological Association nor the American Medical Association recognize “sex addiction” as a valid diagnosis. According to the American Medical Association, there is no clear evidence that “sex addiction” is a biological disease that leads to physiological dependence and withdrawal. While past editions of the American Diagnostic And Statistical Manual of Mental Disorders had a category called Sexual Disorders Not Otherwise Classified, the latest version does not. After reviewing the empirical evidence, it decided not to include the diagnosis of “hypersexual Disorder” in it’s current manual. Despite its absence, mental health professionals have found the following disregarded criteria for Hypersexual Disorder to be of diagnostic value:
For a period of at least six months:
Compulsion Or Impulse Control?
The World Health Organization’s (WHO) manual does includes the diagnosis “excessive sexual drive.” In their manual, this diagnosis is classified as a compulsive behavior and/or impulse control disorder and not an addiction. There is extensive research that suggests hypersexual disorders are of a psycho-social nature. For example, people who identify themselves as “sex addicts” often come from dysfunctional families and have a history of being abused. One study found that 82 percent of sex addicts reported being sexually abused as children. Sex addicts often describe their parents as rigid, distant, uncaring and critical. Many parents of sex addicts have similar tendencies and were also abused as children. Many of these families, including the addicts themselves, are more likely to be substance abusers.
There continues to be great disparity as to the etiological and diagnostic criteria for hypersexual disorders. Is “sex addiction” a true addiction? Is it an obsessive compulsive disorder, impulse disorder, or perhaps not even a disorder at all? Where the responsibility falls - - the addiction, the learned character traits, or the individual’s bad choices - - has significant repercussions in terms of diagnosis, treatment and how society views and treats these individuals.
The answer to these questions are not so clear cut. Perhaps individuals struggle with sexual dysfunctions for different reasons or a complex array of multiple reasons. Even if the evidence suggests sex addiction is not an addiction, this does not rule out the possibility that physiological factors can still play an important role in its constitution. The existence of a strong correlation between hypersexuality and anxiety and mood disorders has been well documented in the literature. In fact, it has been shown that the same neurological transmitters that are involved in anxiety and depression appear to play a role in obsessive and compulsive behaviors.
Like many obsessions and compulsions - - be it video games, the internet, gambling, sports, the stock market or even watching TV - - sexual compulsions can only provide temporary relief from unwanted emotions. The moment the compulsive activity stops the unwanted thoughts and feelings do return with vengeance. Individuals who identify themselves as “sex addicts” tend to act out to mask or avoid unwanted emotions such as sadness, shame, loneliness, guilt, anger and fear. Many “sex addicts” also suffer from low self-esteem, impaired occupational, educational, social, family or relationship issues.
Empathy, Acceptance And Self-Responsibility
It is important to have empathy for individuals who suffers from hypersexual disorders. One must have an appreciation of the depth of their suffering, conflicts and daily struggles, be it of a physiological, psychological or self-inflicted nature. You must be aware of their personal histories, family dynamics, current stressors, sense of self, and underlying psychiatric issues such as mood, anxiety or character weaknesses.
To overcome hypersexual tendencies, one must accept and take self-responsibility for their own limitations, dysfunctional tendencies and past discretions in order to harness their inner strength and move forward in a productive manner. In addition to the support of family, friends and
organizational groups, having a seasoned clinical psychologist as your guide on this difficult journey is important to the healing process.
Dr. Klein is a clinical psychologist who practices in Westport CT. He specializes in the treatment of sex and porn addictions as well as substance addictions.
When I was growing up I had a black and white television set with two antennae ears. At the tips of the antennae we wrapped tinfoil to extend the ears in order to improve reception. While the TV set was big and bulky, the screen itself was small. It kind of resembled the face of the robot on the television program Lost In Space, which was a TV series that was popular during my childhood. It had three manual knobs, one to adjust the sound, a second to change the channel and a third to control the picture so it stayed still and did not vertically roll up and down the screen. In those days, watching TV was a physical feat — it required getting up and having to adjust the different apparatuses on the set, including the rabbit ears. Growing up in New York City in the 1960s I was privileged to get seven channels – 2, 4, 5, 7, 9, 11, and 13. There always seemed like there were many options to watch.
Each night, at six o’clock sharp, my family would sit around the television set to watch the news hour. In those days, the evening news was an hour of serious public affairs coverage. Many historians describe the three network news hours on channels 2, 4, and 7 as the Golden Age of Cronkite, Huntley and Brinkley. My family was dedicated to watching the CBS network channel with the news anchor Walter Cronkite. Back then, there was no doubt that Cronkite was reporting the news in an object manner. He spoke with an authoritative tone and no one questioned the facts of his stories. Cronkite ended each program with the saying: “And that’s the way it was.”
In the 1960s, the news was broadcast in black and white, both literally and figuratively. It was about fact and was not allowed to be colored by ratings. The networks’ missions were to keep the news hour separate from the rest of their commercial broadcasting. This was due both to the image they wanted to present to the public as well as government regulations. The news hour was seen as a public service, and not a revenue base for the network.
As a child, I remember sitting with my family in front of the television, watching the news clips from the Vietnam war, each night seeing the number of casualties presented across the screen. The news was serious business. In the 1960s, the networks still had a code of ethics and sense of moral responsibly. Public figures were always protected by the media, their flaws and indiscretions were hidden from the public. The day John Kennedy was assassinated, the principal came into our classroom to tell us the sad news, and each student experienced his death as a personal loss. The nation grieved as if a family member had died on that day. John F. Kennedy was idolized as an iconic leader and his family’s life style set the cultural trends for the country.
In the 1970s, the Federal Communication Commission (FCC) began to deregulate the broadcasting networks, paving the way to the elimination of the divide between news and entertainment. Tabloid news shows, like Current Affair, blended news and entertainment. By the end of the 1970s, tabloid news programming became a significant revenue source for the networks. The more dramatic and colorful the tabloids became, the greater its ratings and profit. Around this time, the networks began to upgrade their picture transmissions from black and white to color. With the demise of black and white television, the clear distinction between fact and fiction also began to narrow.
With the televised impeachment of Richard Nixon, a certain innocence was lost. We were no longer living in “Camelot.” I vividly remember watching the president resign on television and being shaken by the feeling of uncertainty and disbelief. How can the president of the United States do something so out of character of the highest office? I thought this event was so significant, I decided to tape the president’s resignation speech with my cassette recorder. Interestingly, on the flip side of the same tape, I recorded a standup comedy routine from George Carlin. Looking back, the idea that I placed Richard Nixon and George Carlin on the same tape, perhaps signifies the sense of cynicism that I was beginning to experience by the end of the 1970s.
By the 1980s televisions were now hooked up to cable boxes. TVs began to look more like the digital computers on Star Trek than the clunky robot on Lost in Space. With remotes in our hands, we now had access to hundreds of channels bidding for our attention. We didn’t ever need to leave our seats to make adjustments. With cable television came the creation of CNN, a news station driven by ratings. CNN was the first network to bring you 24-hour live coverage. CNN not only reported the news, it became an interactive force that shaped and created the news in real time. With the replacement of the anchor person with “commentators” and “hosts,” the news no longer was grounded in fact, and the divide between truth and fiction began to blur further.
When Ronald Reagan, a Hollywood actor, was elected president, a sense of what was real and what was theater was further called into question. I remember watching an episode of Saturday Night Live where they did a skit on Ronald Regan. In the skit he was portrayed as a tyrant to his staff, yet playing the character role of the goofy grandfather to an audience of children who were visiting the White House.
The 1990s saw the rise of several different 24-hour news channels. Each station tried to find its own niche in order to gain market share. For example, Fox News viewed the world from the political right, MSN and CNN more from the left. Networks no longer presented different perspectives of one reality, but different realities, based upon the political orientation of the channel you watched. The age of positivism — where we all shared a common black and white existence — has disintegrated into negative relativism — where different realities were strategic constructs devised by the networks to promote ideological agendas.
The networks no longer just presented the news, they now told you how you should think about the news. News now was less about facts and more about opinions. To quote Bill Moyers: “When you mix fiction and news, you diminish the distinction between truth and fiction, and you wear down the audience’s own discriminating power.”
The 2000s saw the arrival of social media. With the invention of the smart phone, individuals were now able to construct personalized realities and send them out on the World Wide Web. With a little bit of tech savvy, operatives were able to have their agendas go “viral” and target mass audiences. While social media has many positive applications, it also has a dark side in terms of its vulnerability to construct devious realities of lies and untruths. The internet’s ability to spread anti-social propaganda as well as harmful and infectious viruses has reached epidemic proportions. The news was no longer at home on your television, but it was now connected at all times and it followed you where ever you went. The news was 24/7, streaming in real time and in the palm of our hands.
By the year 2007, social media became a powerful controlling force, where in an instant a text or tweet was able to put thoughts directly into your head. Social media was like the Wild West, no regulations, ideas flying around from who knows where, with no sense of authenticity or legitimacy. Anybody can make news; even my friend Carla, letting the world know on Facebook that she had meatloaf for dinner.
Fake news has always been around. In previous times, it was referred to as propaganda.
Many people did not take Donald Trump very seriously during the 2016 election. They viewed him like one views an acting out child, not taking his antics with grave concern. I was in shock and disbelief when I woke up the morning after the election and discovered he won. During the campaign, I though he was just seeking attention and publicity, and did not actually want to be president. To many, it is still unclear whether Donald Trump is out of touch with reality, a calculative evil genius, or something in between.
While Trump was not a seasoned politician, at least by historical standards, he was in fact an accomplished Reality TV celebrity. He was well-schooled in the art of self-promotion and social media. For Donald Trump, what is right or wrong does not matter, what counts is how many clicks, and how much attention you get from your targeted audience. Trump created a unique message that resonated with a large enough disenfranchised population that enabled him to win the electoral college vote, despite not having the support of the majority of the population.
It was Donald Trump who invented the concept of “fake news.” Contrary to what the names implies, fake news does not signify news that is disingenuous. Rather it is a political tool utilized by a politician to destroy and suppress their opponent’s viewpoint, regardless of the validity of their arguments. Fake news is not the opposite of real news, but rather, the rewriting of history to promote one’s own personal agenda. In Reality TV, truth is not determined by facts, but rather, “the art of persuasion.” What is right or true has become replaced with who can shout or name-call the loudest, fastest and most often. In the world of social media, what mattered is no longer the content of your message, but rather how many eyeballs followed your tweet or “liked” your link so it can go viral or move up to the front page of a search engine.
Fake news has always been around. In previous times, it was referred to as propaganda. What makes fake news unique and different this time around, is the existence of social media — the internet’s ability to quickly spread propaganda worldwide in nanoseconds.
Despite other accomplishments, when historians look back upon Donald Trump’s legacy, it is his use of the term “fake news” that will likely be remembered as his most significant contribution to society. How he decisively divided the country into civil war — this time however, with tweets rather than ammunition.
As I sit on the couch in front of the TV with my iPad in my lap and the remote in my hand, I find myself surfing multiple sites in desperation to hear someone say “and that is the way it was,” rather than, this is the way I want you to think it is.
Dr. Martin H. Klein is a clinical psychologist who practices in Fairfield and Westport CT.
This article was originally published on January 15, 2020 in the CTMIRROR. A shorter version of the article was published in the CT Post and New Haven Register on January 25, 2020. Click on the buttons below to see articles.
Barron's article March 18 2020 by Al Root
People’s moods can suffer as the stock market declines. Anyone with significant experience in the market can attest to that fact: No one likes losing money, and everyone likes making it. But in the most extreme cases, stock-market gyrations can lead to Dow Affective Disorder, or DAD.
Investors shouldn’t dismiss the idea out of hand. Staying happy in this market is hard.
The Dow Jones Industrial Average and S&P 500 are both in bear market territory, down more than 20% from recent highs. The Dow dropped almost 3,000 points, or 13% on Monday, only to rally 5.2% Tuesday. In fact, the Dow has moved more than 5% for seven consecutive days. The volatility has been extreme.
“A person with ‘Dow Affective Disorder’ experiences bipolar swings in mood as the market moves up and down,” wrote psychologist Martin Klein in a February blog post. “In a bull market they feel elated and invincible. They may spend freely, even to the point of living beyond their means.” But then comes the fall, which can lead to depression and anxiety.
Klein received his Ph.D. from the California School of Professional Psychology at Berkeley in 1986. He was an assistant professor of psychiatry at Yale School of Medicine before setting up private practice in Connecticut.
“I’ve dealt with a lot of people on Wall Street,” Klein tells Barron’s. Most people only glance at the value of their portfolio on a monthly or quarterly basis. The problems start when checking stock prices becomes compulsive. “Stock performance can be how some value themselves as people,” he said.
DAD is his term for stock swings affecting moods. It isn’t official. There are, of course, mood disorders based on things beyond people’s control. SAD, or seasonal affective disorder, for instance, is a recognized condition.
A ton of research is done into money and happiness. It’s hard to draw sweeping conclusions, but research has coalesced around the idea that to be happy, people need enough money to live, a purpose, and loving relationships.
DAD falls under the first of those criteria. Maybe people view stock- market drops as an existential threat to financial security.
The symptoms of DAD, according to Klein, look like those in other depressive disorders: stomach pain, back pain, neck pain, as well as an inability to sleep or a decrease in libido. If people are going through that, Klein wants them to ask for help.
“Severe emotional ups and downs are harmful to long term health,” he says. In the case of DAD, the ups and downs can hurt the pocketbook, leading to panic selling—in environments like the Covid-19 coronavirus selloff—or to euphoric buying at market tops.
Life lessons from a pandemic
CT MIRROR VIEWPOINTS -- opinions from around Connecticut
Life lessons from a pandemic
A psychologist sees more worry, more depression, but some positive changes, too, in our daily lives
With the onset of the coronavirus,to say life has changed dramatically is an understatement. In our small communities, we all know someone who has been exposed to the virus or has contracted the illness, some mildly and others life-threatening. How we live, work, think, behave and even breathe is now radically different. We are living in a new time –one we were not prepared for or even equipped to adequately handle. To watch the news and see how this virus is spreading worldwide, and even more so in our own backyard, is beyond belief.
Like Noah from the Bible, we are all cooped up in our homes, isolated, socially deprived, praying for a sign of hope, be it a dove, a rise in our 401k, a job offer, schools reopening, a plateau of the pandemic curve or even a politician willing to tell the truth. How can we not feel frustrated and helpless, when we hear the medical experts say “the virus dictates how we live and react not the other way around.” How can you feel nothing but despair when we are told the pandemic is going to get exponentially worse before it gets better.
As a clinical psychologist who practices in Fairfield county, many of my patients are traumatized by how their lives have changed so quickly. We are no longer going in to work, our kids are now being home schooled, our food is delivered, we are home alone with our immediate families, socially isolated, financially insecure, and emotionally drained to the point of being numb. If we see neighbors it is from a distance, at best a walk together on opposite sides of the street. Nothing is the same. Nothing is normal. Even Amazon’s two-day delivery, something we have all taken for granted, is now a distant memory. Time seems to have changed. We are not moving as fast, a day home schooling or going food shopping can feels like an eternity. Each week that passes now feels more like a year than seven days.
The psychological profession has also adapted to this new reality. Like most other occupations, we are working remotely, doing video conference sessions from our homes, wearing the new business causal, a dress shirt with pajama bottoms. While at first slightly awkward, video sessions over time begin to feel natural. My patients are glad to talk, have someone there they can count on each week to listen and provide insight and understanding — perhaps a normal hour routine is much appreciated in the midst of uncertainty and worldwide angst.
There is no question, the people I talk with are having a difficult time. Our sense of normality, our everyday routines, the feeling of being in control of our actions and surroundings, which we have all taken for granted, is no longer present. The anxious are more anxious, the depressed are more depressed, the lonely never felt more isolated. In the midst of all the the tragic stories and emotional suffering I have witnessed as a result of this deadly virus, there are surprisingly some positive psychological changes that I have noticed listening to my patients. While people cannot go to work or the supermarket, go out to dinner, socialize with a friend, or even workout at the gym, they are spending a lot more quality time with their immediate families. Parents are playing with their kids, spouses are cooking dinner together, children are thinking about the well-being of their older parents and elderly neighbors. Even Democrats and Republicans are pulling together to pass necessary humanitarian aid across the global to help others.
Maybe there is a silver lining to the coronavirus pandemic. Perhaps the world was moving a bit too fast. Maybe there was too much divisiveness and intolerance in the world. Have we been taking things for granted, not appreciating the preciousness of our daily existence and the vulnerability associated with our own finitude? Have we forgot the principles of the Golden Rule? Have we not made time to smell the roses, let alone spend an evening playing a game or watching a movie with your kids? Perhaps isolation and solitude is not such a bad thing. Maybe it is time we all reflect upon the story of Noah and the Ark and look forward to the passage of 40 days and 40 nights, the passing over of this plague, and the signs of spring, rebirth and new beginnings.
When I was a college student I remember reading Carlos Castaneda’s books about his spiritual teacher, a Mexican Indian named Don Juan. Don Juan taught Carlos that he should remember “death is always over your left shoulder.” Perhaps this pandemic can teach us all a lesson of how important it is to remember our humanity and the importance of each moment when faced with one’s own temporal and fragile existence.
Martin H. Klein is a clinical psychologist who practices in Fairfield and Westport.
CT Viewpoints -- CTMirror June 17, 2020
As a child my parents considered themselves to be political independents. With their thick blue collar Brooklyn accents they always told me you should “vote for the person not the party.” Sometimes they voted democratic and at other times they voted republican. My dad was proud to have voted for both the democrat Edward Koch and the republican Rudolph Giuliani for Mayor of New York City. On some occasions, my parents did not always vote for the same person. I remember in the 1984 presidential election, my mother voted for Walter Mondale and my dad voted for Ronald Regan. While their political views were not always aligned, they always had mutual respect for their divergent opinions.
They valued their freedom and especially took the 15th Amendment, their right to vote, very seriously. They knew the importance of expressing one’s voice; a privilege their parents did not have prior to coming to the United States. My parents felt it was patriotic to stand up for what was right. During the 1960s, I remember being with my mother as we participated in numerous peaceful demonstrations. Voting and speaking out for human rights made them feel proud to be an American. They believed that their vote, their freedom to voice their political views and demonstrate for what they perceived to be human rights and justice, would create a better world for their children.
In the past century, the two-party political system has always been viewed as a crucial aspect of our great democracy. The parties’ ideological differences were seen as a check and balance mechanism that led to compromise; the coming together of best practices, thus resulting in historic progress.
As I raise my own children, however, I find myself in a country that is very different from when I grew up. Both parties have become extremely polarized, the Democrats to the left and the Republicans to the extreme right. There is no debate. There is no compromise. There is no coming together somewhere in the middle. Everybody is shouting and no one is listening. Our leaders are acting like 8-year-old children holding their hands over their ears, jumping up and down and calling people derogatory names.
And then it happened. A pandemic. A “lynching in broad daylight.” Protests and rioting in the streets. Peaceful protesters being shot with rubber bullets and tear gas. Is this Washington D.C. or is it Tienanmen Square? Photo opportunities reminiscent of Marie-Antoinette “let them eat cake.” Large corporations getting bigger and stronger while the working class and small businesses are unemployed or going bankrupt. The stock market is going up, while the poor have no food to eat.
The country is exhausted. Enough is enough. We are all feeling vulnerable, anxious and isolated. Despite the pandemic, the country has taken to the street. There is anger in the air. It is time for change. We have reach a tipping point. It is no longer about Democrat versus Republican. It is now beyond politics. It is about the very principles that define us as a country. It is about equality verses racism. It is about democracy versus fascism. It is about environmental survival versus financial profits, science versus mythology, women’s rights verses chauvinism and sexual harassment. It is about compassion verses brutality. It is about being decent, morale, honest and having the psychological capacity to have empathy for others. It is now about good versus evil.
As a country we need hope, we need leadership. We need a grownup to tell us it is all going to be okay. We need to be on the right side of history before it is too late. We all need to vote, even if we have to wear masks.
Martin H. Klein, Ph.D. is a clinical psychologist based in Fairfield and Westport. He is currently offering tele-conferencing sessions.
To many parents a liberal arts education is no longer considered a realistic option for their children. Successful parents want successful children and as such expect them to go to highly competitive schools and study subjects deemed necessary to accelerate economic advancement.
The external pressures to get into a competitive school, however, can be overwhelming to a child. Admission into a “good school” has become harder and more complicated. The world of higher education has changed dramatically over the past decade. Being a good student is no longer enough. In addition to good grades and high test scores, you now need to demonstrate that you participate in sports, extra curricula activities, do volunteer work and have completed several advanced placement courses. Even the college essay has become a monumental task, requiring professional assistance.
In the “old” days students would apply to a handful of schools but now with the advent of the common application, a high school student can now send applications to 900 different colleges with a single click of a mouse. The common application has increased the pool of applicants at each college significantly, resulting is much greater competition.
The college application process has become so complicated that it requires sophisticated strategies and the aid of a dedicated college coach with a specialized software program to develop a personalized strategic plan. Do you apply early decision, early admission, regular admission, how may schools should you apply to, how many safety schools, how many should be reach schools? You can now sit in front of a computer program and see how your child statistically stacks up to past applicants who applied to each respective school based upon grades, test scores etc.
The severity of competition is even more intense for those kids who live in highly educated and affluent areas. It is difficult for a child to stand out from their peers when they live in a town where their cohorts all have grades and test scores two standard deviations above the norm. Being from a northeast suburb can also be a disadvantage when applying to colleges that desire student bodies that are geographically, ethnically and economically diverse.
While many students are academically strong, some lack the emotional aptitude required to handle the intensity of the application process. The pressure from parents, peers and one’s self can be overwhelming to the child. Many kids I see in my practice suffer from low self-esteem. They fear that if they don’t get into a good school they will let down their parent or perhaps be ostracized by their peers. Going to classes each day, while your classmates flaunt their early admission acceptances on Facebook or by wearing collegial emblems on their clothing can bring up feelings of inadequacy.
Overwhelmed by all this pressure, it is understandable why a senior in high school might become overridden with anxiety and exhibit symptoms such as an inability to relax, always feeling on edge, irrational fears of impending doom, restlessness, feeling tense and having difficulty concentrating. Sometimes general anxiety can manifest somatically as stomach pain, panic attacks, muscular tension, headaches or insomnia.
Some kids try to overcome their fears by irrational thoughts or ritualistic behaviors. They become obsessed with the college application process and cannot think of anything else. They cannot control these intrusive thoughts and they find it difficult to relax or even perform chores. In many instances, the child’s academic performance begins to deteriorate due to an inability to focus. Some kids develop compulsive behaviors as a means of avoiding these negative thoughts. They watch television excessively, play endless video games, constantly surfing the internet, spend significant amounts of time on social media, or even watch hours of pornography. Many even turn to alcohol and drugs for temporary relief.
High school students can also be plagued by depression. In children, depression can manifest in many different ways. For example, some kids with depression might feel sad, hopeless, have difficulty concentrating, sleep poorly, have little appetite or an inability to experience pleasure. Others can experience depression in how they interact with others. They can be socially withdrawn, avoid responsibilities, procrastinate, or become emotionally sensitive.
Some kids manifest their depression by exhibiting oppositional behaviors. They can become agitated, aggressive or even antisocial. Kids who have been well behaved can suddenly become deviant. It is common for students to feel embarrassed, ashamed, or over ridden with guilt about failing to live up to expectations. Many kids, as well as their parents, have separation anxiety and get nervous even with the idea of the child going off to college is mentioned.
Many high school students feel alone and isolated in their suffering. They feel like they have no one to turn to who can understand their pain and give unbiased advice. They fear rejection by their parents, teachers and friends.
Kids are often relieved to finally have someone who they can talk to confidentially, in an open manner, without the fear of criticism or judgement. Many can finally admit that the issues that are bothering them have been around for a long time. They can explore their family dynamics in a safe environment and begin work through the age-specific developmental issues of separation and self-identity, which can be overwhelming and confusing to a child at this age.
Who are they? What do they they want to be when they grow up? How do they get their needs met? How do they become that person they want to be? What is the path they should pursue that will make them happy? And most importantly, what college do they want to go to and what subjects should they study?
Surprisingly some kids feel a sense of relief when they discover they will be going to one of their safety schools. Safety, especially to a child, is not always a bad thing, and often times a welcomed surprise.
Dr. Martin Klein Is a clinical psychologist who practices in Fairfield, Westport and Stamford CT. During these stressful times, he is currently offering video conferencing to all students and families across the state of Connecticut. He specializes in working with high school students who struggle with issues of anxiety, stress, depression, low self-esteem and addictions. He works closely with students and their families who are going through the college application process.
It’s not that easy being green;
Having to spend each day the color of the leaves.
When I think it could be nicer being red, or yellow or gold-
or something much more colorful like that.
It's not easy being green.
It seems you blend in with so many other ordinary things.
And people tend to pass you over 'cause you're not standing out
like flashy sparkles in the water- or stars in the sky.
Life can be hard. We are born into the world so helpless and dependent on others. As we get older we are faced with many challenges and unknowns. Learning to walk is no easy feat. The act of separation is painful. The first day away from your parents is traumatic and anxiety provoking. School is a challenge and requires more and more work as we advance. When school does finally end, we are faced with the anxiety of finding a good job and preparing to grind through the hoops of advancement. While there are many wonderful things about having a family, child rearing is much more difficult than anyone can imagine. Raising a family is beyond a full-time responsibility. The required sacrifice of one's freedom for the good of the family at times can be exhausting and not so personally rewarding.
Yet we continue to tightly grasp onto our dreams. Many of the ideals that motivate us we digested even before we knew how to speak. We learn from our parents, teachers, and the many forms of social media who we should be, think, and become. We are told we can be outstanding. We want to "be all we can be." We believe we can become our idols if we dress or talk like them or buy their products. Even the child believes the commercials that the toy inside the box is the real thing, or that they can become the action figure or build a fighter jet just like perfect representation on the box top. We enter the socialization process and strive to be a good person, be responsible, have a good job, support our families and the community.
When you are young time seems to go so slow. A ten year old dreams of being a teenager, a teenager dream of being a college student, a college student dreams of being an adult. However, as we get older, our sense of temporality seems to change -- time seems to quickly speed up.
With a blink of an eye, you find yourself middle aged. When you look in the mirror you don't recognize yourself. You now look more like your own parent than your internal image of yourself. Your body is beginning to slow down and the wear and tear of aging results in aches and pains. For the first time, you are faced with the limitations of both your aging body and ability to live out your dreams and childhood aspirations.
Like Wile E. Coyote, from the Road Runner cartoon, you realize, perhaps for the first time, you are hanging onto a fragile branch that in time will crack and fall into the abyss.
You start to question the very premise of your existence. The metaphysical questions of the great philosophers no longer seem abstract and irrelevant. Who am I? What is my purpose? Can I ever feel whole or complete? Does my life actually matter? Am I a coherent self or a loose collection of fragment streams of thoughts and ideas? If I am going to die, does anything I try to accomplish count for anything in the larger scheme of things? Shakespeare's quote "to be or not to be that is the question" shakes your existential core.
To face one's own death can be frightening. Much of what we do in our lives is about losing ourselves in the everyday busyness — to avoid, deny and repress our own limitation. One of my clients coined the term "ego cowardice" to describe this failure to face reality and continue living a life based upon false hopes, oneiric ideals and deceptions.”
To face one's finitude takes courage. It might even feel a bit like bungee jumping without the cord. But the truth is that the cord was cut a long time ago.
Perhaps Rose, in the movie Moonstruck, said it best when she finds out her middle aged husband is cheating on her with a younger woman: "I just want you to know Cosmo, no matter what you do, you're gonna die, just like everybody else."
To accept one's existence might only be liberating for a moment. But in life -- a moment in time is all we have. Why not make the most of it.
Dr. Martin Klein is a clinical psychologist who specializes in insight oriented existential psychotherapy. He works with people dealing with issues related to life transitions, identity, intimacy, relationships, careers, spirituality, grief, aging, illness, loneliness and meaningfulness. He has offices in Westport and Branford CT
Major Depressive Disorder (MDD)
Major depression is a disabling condition that can last for long periods of time. Without treatment, a major depressive episode can last months, years and even a lifetime. While the condition can worsen during the holiday season or winter months, it is most often triggered by a personal loss or negative situational event. MDD can run in families. In many cases, the mood disorder can be biologically or socially based or a combination of both. How one was raised as a child is an important contributing factor in MDD. Individuals who suffer from dysthymia, a low-grade continuous depression, are most vulnerable to bouts of major depressive episodes.
People who have never experienced major depression might not understand the depth or severity of the syndrome. There can be nothing more frustrating to a depressed person than someone telling them they should just “snap out of it,” “you have no reason to be unhappy,” or “you just need to pull yourself up with your own boot straps.” Major depression is not something that tends to go away on its own without professional intervention.
When you are clinically depressed you can feel totally helpless and have little hope that you will ever feel better. You tend to forget what it feels like not to be depressed. If someone tries to remind you of past times when you were happy, you quickly view their opinions as ill informed and agitating. You feel depressed and exhausted all the time. Your mind is occupied with negative obsessions, self-deprecating thoughts, and low self-esteem.
There is a melancholia to your mood. You might feel sad, overwhelmed and psychologically paralyzed. You might feel that your life has no purpose or meaning. You have a hard time falling asleep and if you do fall asleep you tend to wake in the middle of the night worried and frightened . You cannot shut off your mind. You thoughts are racing with irrational fears and anxiety provoking self doubts. When you are depressed you can become easily agitated and angry. Even the smallest gesture by another person can be misinterpreted and set off a tirade. Some people become so frustrated that their anger rises to the level of rage, whereby they become capable when provoked of doing bodily harm to themselves or others.
Depression can cause difficulties in focusing and concentration as well as deficits in abstract reasoning and memory. Being productive at school, work or at home can be difficult, if not impossible. In severe cases, a person might not have enough energy to get out of bed, care about their appearance or perform basic activities of daily living. Suicidal thoughts or actual attempts are not out of the question.
If you or someone you know suffers from clinical depression, it is important that seek professional help as soon as possible. Clinical psychologist are trained in the diagnosis and treatment of mood disorders. Depression is treatable. Utilizing a combination of cognitive behavioral therapy (CBT), insight oriented psychotherapy and sometimes medication, the clinical psychologist can come up with an action plan to alleviate your symptoms and make changes to how you think, behave, relate to others, and experience yourself and the world around you.
Dr. Martin Klein is a clinical psychologist who specializes in the treatment of depression. He has offices in Westport and Branford CT.
A man says to his wife:
"Listen honey, whoever dies first,
I want to make sure it is okay that I remarry."
Jerry Seinfield on Choosing a Psychotherapist
Bob Newhart on Brief Focused Cognitive Behavioral Therapy
Woody Allen on Long Term Psychoanalysis
Kelsey Grammer (Frasier) on Hypnosis
Ray Ramano on Martial and Family Issues
Robin Williams on Alcohol Dependence
Jackie Mason on Self-Identity and Psychiatry
Stephen Wright on Early Childhood Memories
Jim Parsons (Sheldon) on Facing Your Fears
Bill Murray on Hypochondriasis
Richard Lewis on Psychotherapy and Termination
Dr. Martin Klein is a clinical psychologist who practices in Westport, Stamford and Fairfield CT. He works with children, adults and couples.