בס''ד

Raymond Nourmand, Ph.D.
Addiction Psychologist For Men

Related Issues

People struggling with addictions generally experience difficulty with other mental health related issues as well. The following issues tend to contribute to the nature and course of their addiction progression, and proper attention and care should be given to them to improve treatment outcome, promoting successful, long-term sobriety, and preventing relapse. Dr. Nourmand pays special attention to these issues where relevant and addresses them in clients’ treatments concurrently, meaning he targets the addictions and these issues at the same time.


ANGER
A basic human emotion in all human beings, anger is a reactive state that everyone feels at some point or another. People who become easily angered or irritated can be very productive in accomplishing certain tasks in their lives, but with consequences such as compromised relationships, emotional instability, and a deep-seated sense of feeling out of control. Key to successfully managing one’s anger is to not cover it up or pretend that it does not exist, but rather to acknowledge that it is there, break it down, find out where it is coming from, and acquire effective tools to address the real issue fueling it.


ANXIETY
Anxiety disorders are among the most common psychological conditions in the United States, and affect more than 40 million Americans (National Institute of Mental Health). Often characterized by jitteriness, apprehension, worry, and overthinking, anxiety is something that everyone feels at some point or another. People who struggle with anxiety often over-focus on the future, and are overly concerned about what the future holds. Important to effectively managing anxiety is developing an understanding of where the anxiety is truly coming from, and adopting methods to address the core source of anxiety.


DEPRESSION
Depression is a common psychological condition in the United States, and affects more than 15 million Americans (Anxiety and Depression Association of America). Usually described as an “intense sadness,” depression can be a debilitating condition that makes a person feel sad, hopeless, helpless, and lack vigor and motivation. Contrary to popular belief, depression is not always what it looks like on the outside. Namely, while on the outside it might make a person appear slow and sluggish, studies have shown that depression is actually associated with an overactive internal system (Eede & Claese, etc.). This speaks to the fatigue and exhaustion depression usually brings about. Depression is often associated with overthinking, and focusing too much on the past. Pivotal to effectively managing depression is understanding where the depression is stemming from, and giving adequate guided-attention to the underlying bases of the depression.


SUICIDALITY
Over 44,000 Americans voluntarily kill themselves annually in America, lending suicide to be the 10th most leading cause of death in America today. In fact, men are at greater risk for suicide than are women – they are 3.5 times more likely to die by suicide than are women (American Foundation for Suicide Prevention). Suicidality is a precursor to suicide, and refers to thinking about killing oneself. While not everyone who thinks about killing themselves ends up killing themselves, the thought of taking one’s own life is common among people with addictions, and it is important that it be addressed with kind sensitivity and care.


LOW SELF-ESTEEM
People with low self-esteem often see themselves as inadequate, incompetent, and inferior compared to others. They have a negative view of themselves and experience difficulty seeing themselves as worthy, capable, and loveable. Low self esteem usually comes about when a person does not feel comfortable in his or her own skin. Strengthening personal identity is an essential step in raising one’s self-esteem.


LOSS AND GRIEF
Loss can be understood as the death of someone or something, the dissolution of a prized relationship, or the end of a hope, dream, or expectation (James, Friedman, & Matthews). People respond to loss in different ways, but when grief is not addressed appropriately, psychological and emotional complications can develop. Healthy grieving involves truly understanding the loss, and successfully integrating it into one’s identity.


LEARNING DIFFERENCES
People with Attention Deficit Hyperactivity Disorder (ADHD), Attention Deficit Disorder (ADD), Dyslexia, and other learning differences can experience significant psychological and emotional distress. When one’s ability to acquire, retain, or apply new information does not align with traditional norms, it is easy to feel inadequate, incompetent, and “left behind.” Part of successful learning includes embracing one’s unique learning style, and using it as a strength.


TRAUMA
Trauma refers to intense physical, sexual, or emotional violations that leave a person feeling intense pain and anguish with no perceived escape route for a critical period of time. When left unresolved, trauma can give rise to lingering adverse effects such as persistent anxiety, worry, depression, and emptiness that can last for years or even decades following the traumatic event(s). Successful healing from trauma involves understanding the trauma, and gently assimilating it into one’s self concept in a way that promotes healthier functioning.


STRESS MANAGEMENT
Stress can be understood as the discomfort that develops when outside-demands exceed internal-resources (Lazarus). It is a common part of life, and people deal with it differently. Sometimes the way we handle our stress is not very effective. Successful stress management involves understanding the true nature of one’s stress, and gaining the right tools to address the stress effectively.


RELATIONSHIP ISSUES
One of the hardest, yet most rewarding things in life is having good relationships. Successful relationships take work, and part of developing them involves taking an open and honest look at what is happening in the relationship, and learning how to become more refined both as an individual and as a member of the relationship unit (e.g., couple, family).