The information provided in the blogs is for educational and informational purposes only and is not intended as medical advice. The content does not establish a doctor-patient relationship, nor should it be used as a substitute for professional diagnosis or treatment. Always consult a qualified healthcare provider before making any decisions regarding your health. Family Psychiatry and Therapy (FPT), and Helene A. Miller, MD, make no representations regarding the accuracy, completeness, or suitability of the information contained in each post. If you have a medical emergency, please contact 911 or visit your nearest emergency room.
Reviewed by Dr. Helene A. Miller Last reviewed: October 2026 The short answer: ADHD medication is worth considering when ADHD symptoms are meaningfully interfering with work, school, relationships, or safety, and when structure and skills alone have not closed the gap. It is not a last resort, and it is not automatic. The decision belongs… Read more
Reviewed by Dr. Helene A. Miller Last reviewed: October 2026 The short answer: A trauma psychiatrist evaluates how a traumatic experience is affecting you now (sleep, mood, concentration, startle, avoidance), distinguishes post-traumatic stress from the conditions that mimic it, and builds a treatment plan that usually combines trauma-focused therapy with medical management of the symptoms… Read more
The short answer: Yes. You can complete a full psychiatric evaluation, receive a diagnosis, and be prescribed and monitored on medication entirely by secure video, as long as your psychiatrist is licensed in the state you are physically in during the appointment. For most conditions the care is equivalent to being in the room. People… Read more
The short answer: Holistic psychiatry means treating the whole person, including sleep, physical health, substances, relationships, and circumstances, rather than treating a symptom list in isolation. It does not mean avoiding medication on principle, and a provider who promises that is not being holistic. They are just being restrictive in a different direction. People come… Read more
The short answer: Unspecified trauma and stressor related disorder means a clinician sees a real reaction to a stressful or traumatic event, but has not yet placed it in a more specific category. It is a legitimate diagnosis, not a placeholder for nothing, and it is very often the first entry on a chart rather… Read more
The short answer: Parenting therapy works with the adults, and the child usually is not in the room. Family therapy works with the family as a unit, and most or all members attend. If the pattern you want to change is mostly about how you respond, start with parenting therapy. If the pattern lives in… Read more
The short answer: Summer depression, sometimes called summer-pattern seasonal affective disorder or reverse SAD, is a real and recognized condition. It is less common than the winter version, but it has a distinct profile, and it responds well to treatment. Most people have heard of seasonal depression, and most picture winter. Short days, gray skies,… Read more
The short answer: A summer body image eating disorder pattern tends to surface in warm weather because more skin showing, more comparison, and more unstructured time turn up the pressure on a teen who is already vulnerable. Summer does not cause the illness, but it is the season parents are most likely to notice the… Read more
The short answer: If your child paused stimulant medication over the summer, the smoothest way to restart ADHD medication before school is to do it a week or two early, after a conversation with your prescriber, so any adjustment settles during low-stakes days rather than on the first day back. Never restart, change the dose,… Read more
Reviewed by Dr. Helene A. Miller Last reviewed: July 2026 The short answer: Back to school anxiety is common, and most of the time it is an ordinary reaction that settles within the first two or three weeks. When the distress is intense, lasts longer than that, or starts shrinking your child’s world, it may… Read more
Non-stimulant ADHD treatment for adults is a real option backed by FDA-approved medications and behavioral approaches. A psychiatrist explains when it works, when it doesn’t, and what to expect.
Postpartum anxiety is more common than postpartum depression — and frequently misdiagnosed. A psychiatrist explains what it looks like, what the intrusive thoughts mean, and how it’s treated.
Men delay seeking mental health care by years longer than women, on average. A psychiatrist explains why, what the first appointment actually looks like, and how telehealth lowers the barrier.
Mood changes in your 40s and 50s can look like depression — but for many women, it’s perimenopause. A psychiatrist explains how to tell the difference and what a careful evaluation looks like.
People almost always wait too long to see a psychiatrist. Not because they don’t want help, but because they’re waiting for something — a clearer sign, a worse day, a more obvious breaking point. The truth is that most of the patients I see across New Jersey and New York would have benefited from coming… Read more
Five years ago, this question came up in almost every initial call. Today it still comes up — just phrased differently. People aren’t usually asking “is telehealth a real option?” anymore. They’re asking, “is it as good as seeing someone in person?” It’s a fair question, and the research has caught up to it. The… Read more
A lot of the adults I see for an ADHD evaluation tell me some version of the same story: “I always thought I was just disorganized. Or lazy. Or bad with time. I never thought it was actually something.” They’ve spent years sometimes decades compensating, apologizing, or beating themselves up for patterns that have a… Read more
If you’ve ever Googled “psychiatrist or therapist,” you’re in very good company. The two titles get used interchangeably in everyday conversation, but they describe different training, different tools, and in many cases different moments in someone’s mental health journey. Understanding the difference between a psychiatrist and a therapist can save you weeks of wondering whether… Read more
Talking about mental health is not always easy. Many people in Paramus, New Jersey want to support their friends but feel unsure about what to say or how to start the conversation. At the same time, those who are struggling may hesitate to open up due to fear of judgment or misunderstanding. At Family Psychiatry… Read more
April is Stress Awareness Month, making it an important time for individuals and families in Paramus, New Jersey to take a closer look at how stress affects daily life and overall mental health. While stress is a normal part of life, ongoing or unmanaged stress can have serious emotional, physical, and psychological consequences. At Family… Read more
Many parents in Paramus, New Jersey ask the same question when concerns about their child arise: Is it too early to start therapy? There is a common misconception that therapy is only for older children or teens, but the reality is that children of all ages can benefit from mental health support. In Paramus, New… Read more
Anxiety and depression are among the most common mental health conditions affecting individuals and families in Paramus, New Jersey. While these conditions can develop gradually, their impact on daily life can become overwhelming if left untreated. One of the most important factors in achieving long-term mental wellness is early intervention. Seeking professional support at the… Read more
Grief is a natural response to loss, but many people find themselves wondering how long it will last and when it might be time to seek professional help. Losing a loved one, experiencing the end of a relationship, or going through another significant life loss can bring overwhelming emotions that affect daily life. While grief… Read more
Every relationship experiences stress at different stages. Between demanding careers, long commutes, parenting responsibilities, and the fast pace of life in Bergen County, many couples find themselves feeling disconnected over time. What once felt easy may begin to require more effort. Small disagreements can start to feel larger, and communication may become strained. For couples… Read more
Many people assume ADHD is only a childhood condition. However, adults in Paramus, New Jersey are increasingly discovering that the focus issues, restlessness, disorganization, and impulsive patterns they have struggled with for years may actually be undiagnosed attention-deficit/hyperactivity disorder. It is absolutely possible to be diagnosed with ADHD later in life. In fact, many adults… Read more
Anxiety disorders are among the most common mental health conditions affecting children and adolescents in the United States. For families in Paramus, New Jersey and throughout Bergen County, recognizing the early warning signs of anxiety can make a meaningful difference in a child’s emotional development, academic performance, and overall well-being. While Children’s Mental Health Awareness… Read more
Deciding whether medication is part of the right mental health treatment plan can feel overwhelming. Many individuals and families in Paramus, New Jersey seek help because symptoms such as anxiety, depression, mood instability, or attention difficulties are interfering with daily life, yet they are unsure what steps to take next. A psychiatric consultation plays a… Read more
Depression does not always look the way people expect. Many individuals imagine depression as overwhelming sadness that makes it impossible to get out of bed. While that can be true for some, depression often shows up in quieter, more subtle ways that are easy to dismiss or explain away. For many people in Paramus, New… Read more
Understanding the Link Between Anxiety and Sleep Sleep and anxiety are deeply connected. When your mind is restless, your body has a hard time winding down, and when you are not getting enough quality rest, your anxiety tends to increase. This relationship forms a cycle that can be hard to break without the right strategies…. Read more
Eating disorders do not always look the way parents expect, especially in middle and high school students. In communities like Paramus and throughout Bergen County, academic pressure, extracurricular demands, social media influence, and a strong focus on achievement can make it difficult to recognize when normal adolescent behavior has crossed into something more concerning. For… Read more
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