Sandra Stein

About Sandra Stein

Sandra Kovacs Stein was born in Calcutta, India, grew up in the Dominican Republic, and went to school in Canada, where she planned to settle after getting her Master’s degree in Speech Pathology and Audiology. Instead, she fell in love with an American and moved to Queens, New York after they married.Stein has experienced many unexpected twists and turns in her life, which have taught her to be adaptable and open to trying new things. She has enjoyed a variety of work experiences, including speech pathologist/audiologist, computer programmer, technical writer, abstractor, and transcriptionist. With the advent of digital photography, she became an avid photographer of nature and wildlife, and has used some of her photos to author several children’s picture books.Stein lives in northern Virginia, close to her daughter, three of her seven grandchildren, and four of her six great-grandchildren.

Questions and Answers About Explosive Anger Disorder

2025-01-25T05:16:16+00:00January 17th, 2025|Anger Issues, Christian Counseling for Children, Christian Counseling For Teens, Featured, Individual Counseling|

Explosive anger disorder, also known as intermittent explosive disorder (IED), is a mental health condition characterized by frequent episodes of intense, out-of-control anger that leads to aggressive verbal outbursts or violent behavior that is out of proportion to what triggered it. IED is a formal diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), listed under the category of disruptive, impulse control, and conduct disorders. What are the symptoms of Explosive Anger Disorder? A person with explosive anger disorder may feel as though he or she has lost control of his or her emotions and be so overcome by rage he or she lashes out verbally, makes threats, starts screaming, physically attacks animals or people, throws or breaks things, has temper tantrums, kicks in doors, punches holes in walls, or engages in behaviors such as road rage or domestic abuse. Outbursts can come on suddenly, and the aggressive behavior is impulsive, with no thought of what the consequences might be. After the fit is over, the person may regret his or her actions and feel guilty, ashamed, or sorry for what he or she has said or done. Are there any warning signs of an outburst about to happen? Some warning signs that you are about to have an explosive anger outburst include irritability, a growing sense of tension, sudden rage, rapid heartbeat, racing thoughts, a feeling of tightness in your chest, tingling, and/or shakiness. Causes The exact cause of explosive anger disorder is unknown. However, there appear to be several possible contributing factors such as a genetic predisposition; changes in brain structure, function, and chemistry; life experiences; and the environment you are exposed to during childhood. If, for instance, you were abused or bullied as a child or grew up in a family where [...]

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Male Postpartum Depression: Is It a Thing?

2024-09-25T08:33:56+00:00August 6th, 2024|Depression, Featured, Individual Counseling, Men’s Issues|

Male postpartum depression is real. It is a form of depression characterized by significant mental and emotional distress that often goes unidentified because so many men are reluctant to talk about their feelings or reach out for help. The subject of dads’ mental health is always met with skepticism. You always get, ‘What about mom?’ in response. And moms’ mental health is important. But dads’ is, too. – Anthony J. Nedelman It has been estimated that approximately twenty-five percent of new dads experience mild symptoms of postpartum depression following the birth of a new baby, and 8 to 10 percent are diagnosed with it. This has been corroborated by a 2023 survey of fathers in the United States conducted by Verywell Mind and Parents that found that 9 percent of men experienced postpartum depression, and another 12 percent said both they and their spouses struggled with it. What does male postpartum depression look like? Symptoms of male postpartum depression can include anger, irritability, anxiety, sadness, intrusive thoughts of inadvertently harming the baby, loss of interest in hobbies or activities usually enjoyed, aloofness, violent or aggressive behavior, headaches, muscle pain, digestive problems, changes in appetite and sleep patterns, fatigue, indecisiveness, trouble concentrating or making decisions, emotional blunting, impulsivity, and/or feelings of worthlessness or inappropriate guilt. Why do men get postpartum depression? Many potential risk factors can contribute to male postpartum depression. The most common ones include hormonal changes, pre-existing history of depression or anxiety, feeling disconnected and excluded as mom bonds with baby and focuses on meeting his or her needs, marital discord, sleep deprivation, financial stress, spouse with postpartum depression, and feeling overwhelmed by the added responsibilities of parenthood. How is it diagnosed? Most often, male postpartum depression is diagnosed through a clinical interview with a mental health professional. [...]

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Effects of Trauma: Physiological, Physical, Psychological, Behavioral, and Emotional

2024-09-25T08:30:03+00:00June 26th, 2024|Featured, Individual Counseling, Trauma|

Trauma comes in many forms. The effects of trauma can be a response to any number of experiences or events such as a natural disaster, being in a combat zone, physical abuse, rape, witnessing an act of violence, severe illness or injury, being involved in a car crash, bullying, or childhood abandonment or neglect. Each person’s reaction to trauma is unique. What may be traumatic for one person may not be for someone else. The federal Substance Abuse and Mental Health Services Administration (SAMHSA) describes it as “an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or threatening and that has lasting adverse effects.” Sometimes the effects of trauma are experienced immediately. Sometimes they may be delayed and not manifest until years later. Either way, even when you don’t consciously remember it, unresolved or improperly processed trauma can change the way you think, act, feel, and process information, and have a profound and lasting impact on your mental and emotional stability, self-image, and outlook of the future. An out-of-control response to trauma can negatively impact the quality of every area of your life, from work performance to relationships to your ability to perform daily tasks. Physiological effects of trauma When you experience a traumatic event, your body’s defense system kicks into action, triggering physiological responses that charge your brain and prepare you to react quickly to protect yourself from danger. As stress hormones such as adrenaline and cortisol are released into your system you are likely to also experience physical symptoms such as increased heart rate, heightened awareness, racing thoughts, cold hands, and quicker, shallower breathing. This fight or flight response to the perceived threat is an automatically generated survival mechanism over which you have no control. Ideally, [...]

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