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Nicole Pryor, MS, LPC is an addiction therapist in Wauwatosa, WI specializing in addiction therapy and counseling. Nicole Pryor, MS, LPC is affiliated with Froedtert Health and Froedtert Health.
1155 North Mayfair Road
Wauwatosa, WI 53226
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Bipolar Disorder
Commonly known as manic-depressive illness, bipolar disorder is a serious mental condition characterized by extreme changes in mood. Individuals with this disorder experience emotional highs, or manic episodes, and lows, or depressive episodes. These episodes are distinct periods that are separate from the moods they may usually feel.
During manic episodes, individuals may:
In contrast, depressive episodes may bring about:
Episodes may be a mixture of both manic and depressive symptoms. In such an episode, individuals with bipolar disorder may feel sad, empty, and hopeless but have a high level of energy at the same time. Sometimes, changes in mood are less dramatic. For example, individuals may feel happy and think everything is fine, but people around them may notice their mood changes. Episodes like this are called hypomania. If an individual is hypomanic and does not receive proper treatment, their condition will likely worsen.
Generally considered a lifetime illness, the disorder begins in the late teen or early adult years. Bipolar disorder has no known cause, but research has shown that it tends to run in families. To diagnose it, a psychiatrist carefully assesses an individual's moods and behavior patterns. They may also be asked to keep a daily record of their moods and other factors that can help with diagnosis and determining the right course of therapy. Counseling is a typical form of treatment, as is a group of medications that can control symptoms, called antipsychotics.
Post-Traumatic Stress Disorder (PTSD)
Post-traumatic stress disorder (PTSD) is a mental health disorder that people may develop after experiencing or witnessing a traumatic event. PTSD causes recurring nightmares, flashbacks, and disturbing memories about the traumatic event. It is frequently triggered by particularly intense and life-threatening incidents. For example, someone involved in a serious car accident may have severe anxiety about the accident months or even years later. War veterans and people involved in armed conflict are particularly prone to developing PTSD. In decades past, PTSD was called shellshock and was used to describe the negative emotions that soldiers endured from war. Today, medical professionals who treat PTSD recognize that it can occur in all types of people and can result from all types of traumatic incidents. It is not known exactly why some people develop PTSD, although PTSD frequently arises from:
People who have experienced significant and repeated trauma are more likely to develop PTSD. Those who have disorders like depression or a family history of depression may also be more prone to PTSD. PTSD symptoms typically begin one month to one year following the traumatic event. There are four main categories of PTSD symptoms:
The intensity and frequency of these symptoms can vary over time. PTSD symptoms may suddenly return after disappearing for years. Many PTSD patients find treatment helps to gradually reduce their symptoms over time.
The most common treatments for PTSD are psychotherapy and oral medications. Psychotherapy for PTSD can include cognitive therapy (therapy to change thought patterns), exposure therapy (therapy to confront memories of the traumatic incident) and eye movement desensitization and reprocessing therapy (EMDR). EMDR integrates exposure therapy with guided eye movements to help patients confront and process their trauma. Certain oral medications may help with PTSD, such as antidepressants and anti-anxiety medications. Self-care, support groups, and relaxation may also benefit those with PTSD.
The path to overcoming PTSD can be long and challenging and people with PTSD can benefit greatly by seeking professional treatment from a mental health care provider. Treatment can reduce PTSD symptoms, provide essential coping strategies, and improve one's quality of life.
Self-Esteem Issues
Self-esteem is the value one assigns to oneself based on a complex combination of factors such as confidence, identity, sense of belonging, and self-image, among others. Self-esteem plays a critical role in determining one's happiness and overall well-being. Those with a very positive self-perception are considered to have "high" self-esteem, whereas those with negative self-perception have "low" self-esteem. Self-esteem does not dictate one's true intelligence, skills, looks, or accomplishments, although it can undermine one's motivation and opportunities. Successful people can have low self-esteem, and in some cases, that low self-esteem might motivate people to work harder at establishing themselves. Self-esteem is also not a binary scale, but a broad spectrum that people may move up or down throughout the course of their lives.
Humans begin to gain self-esteem in childhood from being cared for by adults and reaching natural milestones such as learning how to tie one's shoes. Self-esteem evolves through adolescence and adulthood, and can change drastically based on one's positive and negative experiences. It's important to develop healthy self-esteem to navigate through challenges, make decisions, and gain motivation to pursue interests.
Self-esteem issues can influence one's emotions, behavior, relationships, and world view. Self-esteem issues frequently arise from low self-esteem. Low self-esteem can be caused by factors such as trauma, caregiver neglect, abuse, bullying, and academic, social, or professional difficulties. Stressful life events such as parental divorce, caregiver conflict, and financial problems may also contribute to low self-esteem. In recent years, researchers have highlighted the influence of social media in negatively impacting adolescents' mental health. Common signs of low self-esteem include:
Excessive self-esteem can also be problematic in that it can hinder one's ability to form relationships with others. People with extremely high self-esteem may appear to be conceited or entitled. Some researchers suggest very high self-esteem can lead people to engage in more risk-taking behaviors. Causes of excessive self-esteem are less well-known, but may include upbringing, personality, and cognitive biases.
Fortunately, self-esteem issues can be readily addressed at any time. Positive self-affirmations recognizing one's own accomplishments can raise low self-esteem. Accepting one's own weaknesses and imperfections can benefit those with both low and high self-esteem. People with self-esteem issues often find therapy is an effective means to improve their self-esteem and mental health. Cognitive behavioral therapy (CBT) can help people with self-esteem issues identify and change destructive patterns of thought. Support groups, family counseling, and antidepressant medication may also help with self-esteem issues.
Maintaining a positive outlook and belief in oneself can go a long way towards forming healthy self-esteem. Developing a strong sense of self can be important for well-being and contributes to overall happiness and success in life.
She has a state license in Wisconsin.
Licensed In: Wisconsin
Nicole Pryor, MS, LPC is associated with these hospitals and organizations:
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Ms. Nicole Pryor's specialties are counseling and addiction therapy. She practices in Wauwatosa, WI. Areas of expertise for Ms. Pryor include stress management, post-traumatic stress disorder (PTSD), and self-esteem issues. She is professionally affiliated with Froedtert Health.