anxiety, coronavirus, counseling, psychology, Uncategorized

Coronavirus: How It Is Testing Our Ability to Cope

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Have you noticed your stress levels have been on the rise as a result of COVID-19? If so, you are certainly in good company. Anxiety is a natural response to the unknown, nature’s way of trying to protect us by pushing us to resolve the uncertainty and figure out a solution to the problem.

In a situation, such as a national pandemic, stress is the normal human reaction. Fear and anxiety about this disease can cause strong emotions in adults and children alike. With news of rising death tolls, massive job layoffs, and orders from government officials to “shelter in place” we may be left feeling a bit shaken. It does not help to keep hearing that hospitals are running short on supplies nor getting contradicting information from different news outlets on this novel coronavirus. People can struggle to know WHAT to even believe is true.

People with pre-existing anxiety and related disorders are *especially* likely to a have a hard time during the coronavirus crisis.
We all react differently to stressful situations. Social distancing and self-quarantine can test the strongest amongst us. Dealing with at-risk family members, a roller-coaster economy, trying to juggle work, keeping your children occupied, and homeschooling all can all be overwhelming. Just simply adjusting to a new, unfamiliar situation can negatively impact you. Moreover, none of us know when this is going to end, which just adds to the psychological distress.
Stress, while not only an unpleasant emotional state, can also weaken your immune system. Reducing your stress is one of the best ways you can deal with this crisis. Hence it is more important than ever to boost your coping skills in order to improve both your physical and mental well-being.
5 Steps to Manage Stress

1)Get sleep and rest. Everything gets amplified when we are sleep deprived. Getting enough rest is more important than ever for both your physical and mental well-being. It is important to be well-rested to deal with the additional stressors impacting our day to day lives.
2)Exercise. Gyms may be closed, but it is still possible to take walks, play with your kids/pets, and workout at home. Endorphins can help you feel better and maintain a positive attitude.
3)Maintain a healthy diet. A bad diet can impact your emotional state. Be sure to help regulate your blood sugar throughout the day which will keep you much more even keeled. Eating well to help manage anxiety is commonly prescribed by doctors and mental health professionals alike. Lifestyle changes are simple but powerful tools in mitigating anxiety and depression, and are an essential component of an integrated approach to mental health.
4)Connect with others. Just because we are quarantining, it does not mean we cannot make a point to connect with others regularly. Isolation and lack of social connection can lead to anxiety and depression Zoom, Facetime, Skype, etc. are all virtual platforms to be utilized to check in with friends and family.
5)Let go of your need for control. As humans, we tend to want to control over our lives. Coronavirus guidelines are very much OUT of our CONTROL. Meditating, journaling, and starting a mindfulness practice are all ways to develop our ability to cope with this trying time. It is important we learn to manage and accept our lack of control at it relates to this pandemic. Tolerating uncertainty makes you less vulnerable to anxiety. Start easing back on certainty-seeking behaviors in your daily life.
Following these steps to manage your stress can add a sense of normalcy to your life. Maintaining a routine is pivotal. As humans, we thrive when we have structure.
In addition, anxiety tends to rise proportionally to how much one tries to get rid of it. I always loved how Carl Jung said, “What you resist, persists.” People try to distract themselves by eating, drinking, self-medicating, or binge watching tv more than usually. They may seek out reassurance on the internet or from loved ones. Other people obsessively check news streams, hoping to calm their fears and seek answers to their questions. While these behaviors can help in the short term, they can make anxiety worse in the long term.
Allow your anxious feelings, thought, and physical sensations to wash over you, accepting that anxiety is a part of the human experience. We are all in this together. Often health threats can trigger this existential fear we all have within us of our own mortality. Take a moment to step back and remind yourself that you are more resilient that you think.
If you are not able to manage your anxiety or depression on your own, please know help is available. If you find you are struggling to maintain close relationships, take care of yourself or others, or that your anxiety is interfering with your daily responsibilities, you might want to get professional help from your doctor or a mental health professional. If you are feeling helpless during this stressful time, it may be time to speak with someone. As a counselor, I am providing tele-health sessions, as are many other providers. It is important to take care of yourself and others around you during this unprecedented time.

If you are struggling to cope during this time and would like to schedule a counseling session with me (***tele-health sessions ARE being covered by insurance**):

https://anewcounselingservices.com/erin-theodorou%2Cm-ed-%2C-lpc

Erin Doyle Theodorou, M.Ed, LPC, NCC

Anew Counseling Services LLC

617 Oradell Avenue, Suite 3, Oradell, New Jersey, 07649

(551) 795-3822

etheodorou@anewcounselingservices.com

 

counseling, happiness, humility, prosocialbehavior, psychology, self-help

Low Frustration Tolerance: Why Our Ability to Withstand Frustration is Telling

Managing anxiety, cultivating patience, and developing the ability to tolerate frustration are pivotal to mental and emotional health.

Yet we see ourselves living in an increasingly impatient society with anxiety running rampant amongst people of all ages.

As a counselor, I frequently see a low frustration tolerance present in clients. People with a low frustration tolerance struggle to tolerate unpleasant feelings and stressful situations. Unfortunately, if you struggle with a low frustration tolerance it will lessen your ability to effectively manage your life and relationships.

Whether you suffer from an anxiety disorder, social phobia, or panic disorder, many times it is important to work on being mindful and slowing down. People with anxiety are especially apt to struggle with patience, uncertainty, tolerating discomfort, and negative emotions. Developing a high frustration tolerance means not going from 0-60 in a situation. It means learning it is best to respond, not react.  People with a low frustration tolerance struggle with managing the daily frustrations we all will inevitably experience in life.

Frustration tolerance is the ability to overcome obstacles and withstand stressful events. Thus a low frustration tolerance is often a result of when a person feels what they want to see happen is being delayed or thwarted. This can be an external circumstance (experiencing a rainstorm during your beach vacation) or another person (your boss who keeps passing you over for a promotion). The resulting feeling is dissatisfaction from unmet needs or unresolved conflicts.

Often our ability to tolerate frustration reflects our maturity. Personally, I expect to encounter some frustrations in day to day living (traffic, rude people, waiting on hold trying to get a customer service rep on the line, being told things I don’t want to hear, waiting for a table at a restaurant, etc.). I find many people struggle to accept these as just realities of modern life. None of us are immune to unpleasant experiences.

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In order to feel less aroused by stress, you must accept that problems are a part of life.  None of us are exempt from facing challenges and difficulties. Accepting this truth allows you to let go of the notion that something must be wrong if you’re feeling unhappy. Our feelings are fluid and fleeting. Just as we will feel positive emotions, negative emotions are inevitable. Sometimes the only way to get to the other side of negative feelings is to ride out the uncomfortable emotions.

Frustration tolerance is a cultivated skill. We often encourage our children to develop grit and patience. Most children start out with a low frustration tolerance.  During the developmental and learning  process, they acquire the ability to face situations where they don’t always get what they want, whether it’s wanting to play with another child who does not want to be their friend, wanting cookies at the grocery store but their mother says no, or whether their ice cream has fallen and their parent doesn’t want to buy them another.

However, as adults, many times we ourselves do not exhibit such patience and the ability to tolerate frustration. Some people struggle with accepting their desires will not always be met. They may be unable to take the wishes and desires of others into account. These people struggle to deal with uncontrollable setbacks.

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We see people with a low frustration tolerance react with anger, rage or excessive melancholy, in situations that most people can solve internally and move on from.

The ability to tolerate frustration is an important part of psychological well-being. If you find you are struggle with a low frustration tolerance, it may be beneficial to seek out counseling.

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If you are struggling with frustration in your life and would like to schedule a counseling session with me (AND if you are a reader who lives in New Jersey):

https://anewcounselingservices.com/erin-theodorou%2Cm-ed-%2C-lpc

Erin Doyle Theodorou, M.Ed, LPC, NCC

Anew Counseling Services LLC

617 Oradell Avenue, Suite 3, Oradell, New Jersey, 07649

(551) 795-3822

etheodorou@anewcounselingservices.com

 

counseling, psychology, relationships, self-help

Do You Need Closure to Heal and Move On?

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Are you someone who can’t move on without closure?

The desire to have closure or resolution in any given situation is human nature especially when it comes to our romantic relationships. In theory, closure is supposed to provide us with a breakup cure-all. If we know what exactly went wrong and what we can improve upon, then we can close the door on that past relationship and MOVE ON.  Yet the need for closure doesn’t just apply to romantic relationships. Ending any type of relationship–friendship, familial, or otherwise— may bring about a desire to know WHY this is happening to us and how come something is coming to an end.

Other times we may seek the need for closure because of the death of a loved one, the loss of a job, or a certain lifestyle change, all of which all can be examples of painful endings. Letting go of something that was once important to us can be difficult, and many people seek closure in doing so. But does knowing WHY actually help? And can you really expect other people to give you closure?

When we seek closure we are looking for answers as to the cause of a certain loss in order to resolve the painful feelings it has created. In doing this, we appear to form a mental puzzle of what’s happened – examining each piece and its relationship to the overall puzzle. Closure is achieved when we are satisfied that the puzzle has been assembled to our satisfaction that the answers have been reached and it is therefore possible to move on.

Personally, I do not feel most things in life can be wrapped up so neatly and put away in the psyche of our mind. Sometimes there is no closure or good answer to be given. Sometimes things just need to end. Sometimes endings come about for no good reason or things just ran their natural course.

Moreover, things can end because a situation or person is toxic or unhealthy. Or it can simply be because something no longer serves us. Whatever the reason is does not matter in the big scheme of things. The focus in life has to be on moving forward. Not looking back.

Nevertheless, some people INSIST on closure and answers. As a counselor, I believe if any closure is to be given, only you and you alone can give yourself it. I believe closure is your responsibility because it is up to you to make sense of your relationships and your life. I advise my clients to seek answers from within, not from the external world.  I find closure is something people seek because of the illusion of control in a situation where realistically none exists. OTHER people cannot give you an explanation for why your life has unfolded the way it has.  Even if that person were to communicate with you, they still may not say what you want to hear. A relationship partner cannot truly tell you a simple reason why the relationship has to come to an end because they can only speak to their side, their perspective. Life does not always offer simple answers to complicated questions.

We are all responsible for our own lives. No one else can give us the perfect answer as to WHY. We often create stories about why people aren’t responding in the way we hoped. We come up with reasons to why something is the way it is. But even our attempts at answering the question of why is conjecture at best. Sometimes we can never truly know why things are the way they are.

The truth is I don’t have all the answers, nor does anyone else. One universal experience that we all get to share is having situations in our lives that don’t meet our expectations. We are given the choice as to how we react.  We cannot expect the outside world to give us answers or closure. The great thing is we do not need closure for healing. We must take ownership of our feelings and work on getting comfortable with uncertainties and unanswered questions.

Life is full of them.

If you are struggling with finding closure in your life and would like to schedule a counseling session with me (AND if you are a reader who lives in New Jersey):

https://anewcounselingservices.com/erin-theodorou%2Cm-ed-%2C-lpc

Erin Doyle Theodorou, M.Ed, LPC, NCC

Anew Counseling Services LLC

617 Oradell Avenue, Suite 3, Oradell, New Jersey, 07649

(551) 795-3822

etheodorou@anewcounselingservices.com

 

 

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counseling, familysystems, psychology, relationshipadvice, self-help

Enforcing Boundaries, No Contact, and Dysfunctional Relationships: Actions Speak Louder than Words

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Boundaries are a very important part of good mental health and maintaining a strong self-esteem.

Often in counseling sessions, I find clients gripe that other people in their lives DO NOT take them seriously. Clients share how they feel disrespected or mistreated. That what they say AND feel does not seem to matter to the folks in their lives.

I often explore with clients if they voice how they feel to the important people in their lives. Often people hold expectations for their relationships and other people without ever voicing their thoughts and feelings. I gently remind clients that other people in our lives are not mind readers. We discuss how other people may in fact have NO IDEA what our thoughts, feelings, and expectations are if we do not have an explicable discussion with them. These clients have a certain set of challenges to face, which requries them to start speaking up in their lives, if they want to catalyze change in their relationships.

Then on the other side of the spectrum, some people will share that YES that have in fact shared MANY times with their spouse, family member, friend, etc. how they FEEL to no avail. These folks have a whole different set of challenges to face and work through in our counseling sessions.

My next question for these clients, who share they have voiced their feelings many times to no avail, in their respective relationships: Did you follow your words up with actions?

Many times, the answer is an astounding, NO. Yet as we all know, actions speak louder than words.

This is where as a counselor, I bring up the topic of personal accountability. The truth is if someone is all talk and no action, is it really the OTHER person’s fault if they do not take said person seriously? We all know people who are all bark and no bite as opposed to people who say how the feel and follow it through with actions that match their words.

This is where the topic of boundaries comes into play. Boundaries are important and in counseling I get to see firsthand how comfortable one is with enforcing theirs.

Boundaries are basically your limits and act as your “invisible fence” alerting you to the fact that you’re uncomfortable or even in danger whether that danger is emotional or physical in nature. They also communicate to others not only how they can treat you and what to expect from you, but also what they’re likely to get away with or not get away with.

Boundaries are not complicated—the tough part is ENFORCING one’s boundaries, something I see many clients struggle with. If someone does not respect your boundaries, they do not respect you. If someone loves you, it will MATTER to them how you feel. Anyone who truly cares about you will express regard when you bring up concerns about your relationship with them–whether that relationship is familial, romantic, or a friendship. Yet this is not the case in dysfunctional, unhealthy relationships.

It often comes down to empathy. If you have any sort of relationship with someone who LACKS EMPATHY, it will be very damaging to you and your well-being.

This is where the idea of no contact comes up. If someone has tried time and time again to fix relationship problems with no success, they are left with two choices: accept the bad behavior as is or leave the relationship. If you ask someone in your life to stop a behavior that is harming you and they don’t, there will not be any other choice to make but to limit or eliminate contact. Unless you are willing to continue to be mistreated. The choice is yours. Following up one’s words with actions is how boundaries are enforced.

Going no contact with someone in your life is a last resort when a person is not respecting you, your boundaries, or your relationship. Many therapists are hesitant with discussing cut offs because of how it impacts the individual–it is certainly NOT ideal especially with family relationships.

One caveat to note is the difference between no contact and the silent treatment. The difference is the silent treatment is used to punish, invoke, fear, guilt, remorse. The silent treatment is about power and control.  This is NOT what no contact is. The silent treatment is abusive in nature. On the other hand, no contact is done to protect yourself. No contact is about moving on from a relationship that is not healthy. The silent treatment is temporary and done with the hope of a certain outcome. No contact is a way of exercising your own autonomy and enforcing your boundaries. You have no hope of ANY outcome other than removing yourself from being mistreated and disrespected. You recognize that you have the right to cease communication with someone who mistreats you and lacks empathy for you.

People make their choices and it gets them to a certain point in their life and in their relationships. YOU are NOT responsible for the actions and choices of other people. But you are responsible for protecting your own well-being from people who mistreat you. This is why following your words up with actions is a must.

I believe everyone’s feelings are important. We all deserve to be treated with basic human decency.  A person with good self-worth does not continue on in relationships where respect is not being served. For instance, when someone is disrespectful to me for no reason, I like to ask myself some questions. Who is this person? Are they even important in the scheme of my life? Will calmly telling this person that I’m hurt or offended be met with further aggression? And how much energy do I have in this moment to engage with this person? Is the juice worth the squeeze????

This is why enforcing boundaries is the cornerstone to maintaing healthy relationships in one’s life. If you find you have tried time and time again to get your needs met in a relationship and are wondering when no contact is appropriate, I feel there are three overarching factors to consider it:

1)Does this person show remorse when you tell them they hurt you? If someone has no remorse, if someone doesn’t care, then I think that is a real problem. I do think a basic standard for one’s life is to keep people in your life who have some regard for you at a very basic human level. If someone tells you with their words and actions, they do not care about you, why would you stay in contact with them if you have any sense of self-respect?

2)Has this person in your life outright told you they do not respect you?They shame you, criticize you, minimize you, make you feel degraded. Are you okay with this type of treatment?

3)Does this person refuse to let you live life on your terms and respect your boundaries? In life, we don not have to agree with how other people in our lives choose to live. But if we want to be in their lives, we must learn to be respectful and tolerant of our differences.

These are just a few broad factors to pay mind to when considering going no contact. Remember, no contact and the topic of boundaries are very complex and nuanced. As a counselor, I beieve if things are so bad that you need to go no contact, you have probably been feeling hurt and mistreated for a long time. This is not something that happens over night. Getting into counseling during a time like this is pivotal.

No contact is a protective measure but not a decision to be made lightly. Personally, I also believe you should keep an open mind to having people come back into your life. I believe people CAN change.  However, it depends on if authentic change has occurred. But if you see someone has grown, become wiser, is humble, is remorseful, and is mature, then you might want to stick your toe in the water and see how it might go with restoring the relationship. But if you are not seeing that type of evidence, I would be very cautious about letting someone back into your life who has mistreated you. Maybe you then want to put your energy into the people in your life who respect you and treat you well.

If you are struggling with an important relationship in you life and would like to schedule a counseling session with me (AND if you are a reader who lives in New Jersey):

https://anewcounselingservices.com/erin-theodorou%2Cm-ed-%2C-lpc

Erin Doyle Theodorou, M.Ed, LPC, NCC

Anew Counseling Services LLC

617 Oradell Avenue, Suite 3, Oradell, New Jersey, 07649

(551) 795-3822

etheodorou@anewcounselingservices.com

 

counseling, happiness, psychology, self-help

Becoming Your Ideal Self in 2020

Hello, 2020!

We are officially in the kickoff of the New Year. Welcome to the Roaring 20’s!

New Year’s Day can feel surreal. Many of us are probably in the midst of setting our 2020 resolutions. (Or recovering from the night before–a time well spent with family and friends celebrating the end of 2019).

Goals are important. Setting goals give you a long-term vision and short-term motivation. Goals are what move us forward in life.

Personally, I am a big believer in writing down your goals. Research has shown that people who write their goals and dreams down on a regular basis achieve those desires at a significant higher level than those who did not.

I spent some time dedicated solely to jotting lists broken down into categories of different goals: Financial, Career, Health, Emotional Life, New Experiences, Intellectual Life, Relationships, Volunteer, To Do Around House, Family, Life Vision, etc. (Not going to lie, I LOVE making a good list).

Everyone would have different categories based on their life circumstances and values.

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It can be an emotional day come January 1st.

Mixed emotions may come about. We may feel overwhelmed about what are realistic, worthy goals to set for yourself.

While hope and motivation may be at the forefront of your mind, for others, there can be something so unsettling about the start of another new year.

Perhaps you are asking yourself, how did a whole year fly by just like that? That in and of itself can feel unreal. Time seems to be moving more quickly with each passing year. It can seem like we were JUST starting 2019 not too long ago. It is a bit wild how the years seem to fly by, blurring together.

For others, they can be facing feelings of melancholy about another year coming to pass. Another year where they did not achieve any of the goals they set out to accomplish. Or a realization that their life has long become stagnant. They cannot remember the last year where they did something new or different. They may feel unmotivated and uninspired realizing they have spent not just the last year but the last SEVERAL years procrastinating their goals. Many goals may have been lost along their journey through life.

The hard pill to swallow is a New Year can bring about the hard realization you may be stuck in a rut. Your life has become stagnant and you didn’t even realize it was happening.

As a therapist, the last couple weeks of the year, I find clients will often share renewed goals for the new year. But more commonly they will share with me the disappointments of the previous year.

Many of us view the beginning of a new year as the best time to make behavioral changes and overcome unhealthy habits. I know I buy into this time of year being an opportune time to catalyze change in my personal life.

Each new year is a blank slate.

Emotionally, a new year can be trying. It can feel upsetting IF we are not any closer to our goals or becoming the ideal person we hold in our mind (we all have this so-called ideal self–possibly a thinner, richer, smarter, more successful, more athletic, more charming, healthier, more ambitious version of ourself). If you feel this way, instead of building yourself up, you may spend New Year’s day beating yourself up over the failures of 2018.

The fact is we can never get rid of ALL the negative aspects of ourselves because those are very real parts of us. We all have parts of ourselves we struggle to accept.

We all have dreams we are chasing whether we share them with others or not.

The end of the year can turn into a tailspin.

Perhaps the last few months you have shelved even TRYING to become the ideal person you hold in your mind.

Perhaps you have even forgotten what your ideal self even looks like.

Yet goals that connect with our “ideal self” are most effective. The New Year presents an opportune time to connect with that ideal self.  When we RESOLVE to change, we feel better—more in control, more hopeful, more confident.

According to Carl Rogers, one of my favorite theorists, we ALL are constantly working towards self-actualization. According to Rogers, self-actualization occurs when we achieve our goals, wishes, desires.

According to Rogers (1959), we want to feel, experience and behave in ways which are consistent with our self-image and which reflect what we would like to be like, our ideal-self.  The closer our self-image and ideal-self are to each other, the more consistent or congruent we are and the higher our sense of self-worth.

But sometimes we lose ourselves on our journey to self-actualization.

This is why counseling can be a great first step to helping you get back in touch with the person you aspire to be. It can help you close the gap between your ideal self and your actual self. It can help get you back in touch with the REAL YOU, not the you who has been operating on auto pilot. A person is said to be in a state of incongruence if some of the totality of their experience is unacceptable to them and is denied or distorted in the self-image (Rogers).

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Steps to Achieving your Ideal Self

1)Reflect on your current self vs. your ideal self. What don’t you like about your current behavior? What accomplishments are you proud of? What are parts of your current self you would never want to change? What are parts of yourself that you have never seemed to be ABLE to change?

You are the life you lead–so choose your path mindfully.

How do you handle adversity? How you handle conflict? Can you keep your cool under pressure? How do you talk to yourself when you mess up?

What standards would you like to uphold going forward? What kind of person would you ideally like to be? Most importantly: WHY is it important to make these changes? Having a strong why is a MUST for lasting change.

2)Reflect on COMPETING GOALS. The fact is many of us have competing goals vying for our attention and time. We need to not be so hard on ourselves when we have to shift focuses. Life is truly a balancing act. It can be hard to strike a balance between being a good parent with a demanding career. Being social while being on a strict diet. Traveling the world while saving money. Managing our various goals can be TOUGH. You need to have flexibility in your expectations depending on what is taking precedence at any given time. Let go of absolutes in your thinking patterns–ALWAYS, MUST, SHOULD, NEVER.

3)What would you do–if money— was not a concern? For many people, money is a defining factor in their life. For others, it is a limiting factor. How differently would you live your life (if different at all) if money was not a factor? The answer can be telling.

4)What do you want people to say about you and your life at your funeral? Great parent? Good friend? Successful? Well-traveled? Kind soul? Did a lot of good for others? No answer is right. But how you answer this question reflects much on what you value in life.

5)Remember you ARE the life you lead. Ask yourself–what is your day-to-day life like now? Are you a dedicated parent? A career driven professional? Someone who makes time for loved ones? A fitness fanatic? Dedicated to healthy eating? Are you kind? Are you thoughtful? Are you having an impact in a positive way the lives of others? Are you well-read? Do you travel? Do you do the right thing? Do you sit by silently when you see someone being mistreated? Do you mistreat others? Do you mistreat yourself?

6)Remember you ARE how you spend your money. Ask yourself–do you value experiences over materialistic objects? Do you pour all your money into living the most extravagant lifestyle you can or do you live below your means saving for the future? Both are reflective of YOU AND YOUR VALUES. Do you spend more than you should? Do you save? OR do you feel well-balanced between the two?

7)Remember you ARE what you eat. Ask yourself—do you eat like you love yourself? Do you far too often indulge in processed food, sugar, and fried food? Are you committed to healthy eating? Are you committed to your health, period?

8)Revise your goals to better reflect your limitations and true capabilities. It is important to be honest with our positive and negative qualities. We ALL have limitations. Often our goals feel because we do not take said limitations into account. Be kind to yourself but be realistic. All unrealistic goals do is set you up for failure (and pain).

Most importantly: Our daily life IS who we are. How do you spend your days? If today, was your last day on Earth, could you say you are proud of the life you led? Are you happy with your day-to-day existence?

These questions may seem like a lot to think about and reflect on. The answers will be unique fo all of us and a reflection of our values. One caveat to keep it mind is we are ALL human. Do not expect to tackle EVERYTHING you set out to do all at once. We cannot expect to be our IDEAL self 100% of the time. Life happens (stress happens). None of us are always in a total state of congruence. If you are feeling overwhelmed, consider speaking with a therapist who can help you unload and process through some of those feelings.

Make 2020 the year you work hard, but work JUST AS HARD on self-compassion and being kind to yourself, as you stumble along the way to achieving your ideal self.

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If you are interested in scheduling a session with me and are a reader living in New Jersey:

https://anewcounselingservices.com/erin-theodorou%2Cm-ed-%2C-lpc

Erin Doyle Theodorou, M.Ed, LPC, NCC

Anew Counseling Services LLC

617 Oradell Avenue, Suite 3, Oradell, New Jersey, 07649

(551) 795-3822

etheodorou@anewcounselingservices.com