Author name: Therapy Near Me Editorial Team

Written by: Therapy Near Me Editorial Team Clinically reviewed by: qualified members of the Therapy Near Me clinical team Last updated: 16/01/2026 This article is intended as general information only and does not replace personalised medical or mental health advice. Learn more about our Editorial Policy. Dialectical Behaviour Therapy (DBT) is a cognitive-behavioural approach developed by Dr. Marsha Linehan in the late 1980s. Initially designed to treat individuals with borderline personality disorder (BPD) and chronic suicidal behaviours, DBT has since evolved to address a range of other mental health disorders due to its effectiveness. This article delves into the foundations, key principles, and applications of DBT. Origins and Foundations DBT was born out of the need for a treatment modality that could effectively address the challenges faced by individuals with BPD, particularly those exhibiting self-harming behaviours. Traditional cognitive-behavioural therapies were often inadequate, as they did not focus sufficiently on acceptance and validation, two critical components for this population (Linehan, 1993). The term “dialectical” is rooted in philosophical and metaphysical concepts, emphasising the reconciliation of opposites in a continual process of synthesis. In DBT, this translates to a balance between acceptance and change. Core Principles of DBT Mindfulness: Derived from Buddhist practices, mindfulness encourages individuals to be fully present in the moment, observe their feelings and thoughts without judgment, and cultivate an awareness of their current environment. Distress Tolerance: This principle focuses on accepting and tolerating distress without resorting to self-destructive behaviours. It teaches skills like distraction, self-soothing, and improving the moment. Interpersonal Effectiveness: Individuals learn to assert their needs and rights, set boundaries, and navigate conflicts, all while maintaining self-respect and valuing relationships. Emotion Regulation: This module helps individuals understand and manage their emotions, reducing vulnerability to negative emotions and increasing positive emotional experiences. Structure of DBT DBT typically involves both individual therapy sessions and group skills training sessions. The group sessions are instructional in nature, focusing on teaching the aforementioned skills, while individual sessions delve into personal challenges and reinforce the application of these skills (Linehan, 2015). Applications Beyond Borderline Personality Disorder While originally developed for BPD, the effectiveness of DBT in enhancing emotional regulation, improving interpersonal relationships, and reducing self-harm behaviours has led to its application in treating a range of other disorders, including: Eating Disorders: DBT can help address the emotional dysregulation often seen in eating disorders like bulimia nervosa and binge eating disorder (Safer, Telch, & Chen, 2009). Substance Use Disorders: DBT aids in reducing substance abuse and improving treatment retention (Dimeff & Linehan, 2008). Mood Disorders: Modifications of DBT have been employed to treat conditions like major depressive disorder, especially in cases with chronic symptoms or comorbidities (Lynch, Morse, Mendelson, & Robins, 2003). Conclusion Dialectical Behaviour Therapy represents a significant advancement in the field of psychotherapy, offering a comprehensive and targeted approach to address complex psychological disorders. By striking a balance between acceptance and proactive change, DBT provides individuals with the tools to navigate emotional challenges, forge meaningful relationships, and lead more fulfilling lives. References Dimeff, L. A., & Linehan, M. M. (2008). Dialectical behavior therapy for substance abusers. Addiction Science & Clinical Practice, 4(2), 39-47. Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford Press. Linehan, M. M. (2015). DBT skills training manual. Guilford Publications. Lynch, T. R., Morse, J. Q., Mendelson, T., & Robins, C. J. (2003). Dialectical behavior therapy for depressed older adults: A randomized pilot study. The American Journal of Geriatric Psychiatry, 11(1), 33-45. Safer, D. L., Telch, C. F., & Chen, E. Y. (2009). Dialectical behavior therapy for binge eating and bulimia. Guilford Press. How to get in touch If you or your patient/NDIS clients need immediate mental healthcare assistance, feel free to get in contact with us on 1800 NEAR ME – admin@therapynearme.com.au.

Written by: Therapy Near Me Editorial Team Clinically reviewed by: qualified members of the Therapy Near Me clinical team Last updated: 09/01/2026 This article is intended as general information only and does not replace personalised medical or mental health advice. Learn more about our Editorial Policy. Carers play a vital role in supporting individuals with chronic illnesses, disabilities, or age-related issues. While caregiving can be rewarding, it often comes with significant physical, emotional, and psychological challenges. Burnout among carers is a growing concern, affecting their health and the quality of care they provide. This article explores the causes, symptoms, and management strategies for burnout among carers, supported by scientific research and expert insights. Understanding Carer Burnout Definition Burnout is a state of physical, emotional, and mental exhaustion caused by prolonged and intense stress. For carers, burnout can result from the cumulative demands of providing continuous support and care, often without adequate rest or respite (Maslach & Jackson, 1981). Prevalence Burnout is prevalent among carers, with studies indicating that a significant proportion experience high levels of stress and burnout symptoms. According to a report by Carers Australia (2020), nearly 60% of Australian carers reported feeling stressed and 50% experienced burnout. Causes of Carer Burnout Emotional and Physical Demands Carers often face emotional and physical demands that can lead to burnout. These include: Emotional Strain: Dealing with the emotional distress of the person being cared for can be overwhelming (Schulz & Sherwood, 2008). Physical Strain: Providing physical care, such as lifting and assisting with daily activities, can lead to physical exhaustion and injury (Pinquart & Sörensen, 2003). Lack of Support Many carers lack adequate support systems, which can exacerbate feelings of isolation and stress. The absence of social support, respite care, and professional assistance increases the risk of burnout (Pearlin et al., 1990). Financial Pressure Financial stress is a common issue among carers, particularly those who reduce their working hours or leave employment to provide care. The resulting financial strain can contribute to burnout (Vitaliano et al., 2003). Role Ambiguity and Conflict Carers may experience role ambiguity and conflict, struggling to balance caregiving responsibilities with personal and professional commitments. This can lead to frustration and burnout (Lazarus & Folkman, 1984). Symptoms of Carer Burnout Physical Symptoms Chronic Fatigue: Persistent tiredness and lack of energy. Sleep Disturbances: Difficulty falling or staying asleep. Frequent Illness: Increased susceptibility to illnesses due to weakened immune system (Vitaliano et al., 2003). Emotional Symptoms Anxiety and Depression: Feelings of constant worry, sadness, or hopelessness. Irritability and Anger: Increased irritability and frequent anger outbursts. Emotional Numbness: Feeling detached or emotionally numb (Schulz & Sherwood, 2008). Behavioural Symptoms Withdrawal: Withdrawing from social activities and relationships. Neglecting Responsibilities: Neglecting personal, professional, or caregiving duties. Substance Abuse: Increased use of alcohol or drugs to cope with stress (Maslach & Jackson, 1981). Management Strategies for Carer Burnout Self-Care Self-care is crucial for preventing and managing burnout. Carers should prioritise their health and well-being by: Regular Exercise: Engaging in physical activities to reduce stress and improve mood. Healthy Diet: Maintaining a balanced diet to support physical health. Adequate Sleep: Ensuring sufficient rest to restore energy levels (Schulz & Sherwood, 2008). Seeking Support Building a support network can provide emotional and practical assistance. Carers should: Reach Out to Family and Friends: Share responsibilities and seek emotional support. Join Support Groups: Connect with other carers to share experiences and advice. Utilise Respite Care: Take breaks by using respite care services to prevent burnout (Pearlin et al., 1990). Carer Gateway: Provides a range of free services and support exclusively to carers. (https://carergateway.gov.au) Professional Help Professional help can offer additional support and resources. Carers should consider: Counselling or Therapy: Seeking professional counselling to address emotional challenges. Training and Education: Attending training programs to improve caregiving skills and reduce stress. Financial Assistance: Exploring financial aid and support services available for carers (Pinquart & Sörensen, 2003). Time Management and Setting Boundaries Effective time management and setting boundaries can help carers manage their responsibilities and reduce stress. Carers should: Prioritise Tasks: Focus on the most important tasks and delegate when possible. Set Realistic Goals: Set achievable goals to avoid feeling overwhelmed. Establish Boundaries: Set clear boundaries to balance caregiving with personal time (Lazarus & Folkman, 1984). Conclusion Burnout among carers is a significant issue that affects their well-being and the quality of care they provide. Understanding the causes and symptoms of burnout is crucial for developing effective management strategies. By prioritising self-care, seeking support, accessing professional help, and practising effective time management, carers can reduce the risk of burnout and maintain their health and well-being. References Carers Australia. (2020). The state of carers in Australia. Retrieved from https://www.carersaustralia.com.au/ Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal, and Coping. Springer Publishing. Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Occupational Behaviour, 2(2), 99-113. Pearlin, L. I., Mullan, J. T., Semple, S. J., & Skaff, M. M. (1990). Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 30(5), 583-594. Pinquart, M., & Sörensen, S. (2003). Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis. Psychology and Aging, 18(2), 250-267. Schulz, R., & Sherwood, P. R. (2008). Physical and mental health effects of family caregiving. American Journal of Nursing, 108(9 Suppl), 23-27. Vitaliano, P. P., Zhang, J., & Scanlan, J. M. (2003). Is caregiving hazardous to one’s physical health? A meta-analysis. Psychological Bulletin, 129(6), 946-972. How to get in touch If you or your patient/NDIS clients need immediate mental healthcare assistance, feel free to get in contact with us on 1800 NEAR ME – admin@therapynearme.com.au

Written by: Therapy Near Me Editorial Team Clinically reviewed by: qualified members of the Therapy Near Me clinical team Last updated: 12/07/2025 This article is intended as general information only and does not replace personalised medical or mental health advice. Learn more about our Editorial Policy. Mental health, particularly depression, significantly impacts various professions differently. Understanding which professions have the highest and lowest rates of depression can provide insights into occupational stressors and guide interventions to improve workplace mental health. This article explores two professions with the highest and lowest rates of depression in Australia, supported by scientific research and statistics. Professions with the Highest Rates of Depression 1. Healthcare Workers Overview Healthcare workers, including doctors, nurses, and paramedics, consistently report high levels of depression. The demanding nature of their work, long hours, and exposure to traumatic events contribute to their mental health struggles. ‘ Statistics A study by Beyond Blue (2013) found that Australian doctors reported higher rates of psychological distress and attempted suicide compared to the general population. Nurses and midwives also reported significant levels of anxiety and depression, with 32% experiencing moderate to severe levels of depressive symptoms (Beyond Blue, 2013). Contributing Factors Workload and Long Hours: Healthcare workers often face excessive workloads and long hours, leading to burnout and depression (Shanafelt et al., 2015). Exposure to Trauma: Regular exposure to traumatic events and patient suffering can lead to secondary traumatic stress (Mealer et al., 2009). Workplace Culture: A high-pressure environment with a stigma around mental health issues can deter healthcare workers from seeking help (Schernhammer, 2005). 2. Emergency Services Personnel Overview Emergency services personnel, including police officers, firefighters, and paramedics, also exhibit high rates of depression. The nature of their work involves constant exposure to high-stress situations and traumatic incidents. Statistics A report by Beyond Blue (2018) highlighted that 1 in 3 police officers and other emergency services workers experienced high or very high psychological distress. Additionally, these workers were more likely to experience suicidal thoughts compared to the general population. Contributing Factors Traumatic Exposure: Frequent exposure to critical incidents, violence, and disasters contributes to higher rates of PTSD and depression (Regehr et al., 2003). Shift Work and Sleep Disruption: Irregular hours and shift work can disrupt sleep patterns, contributing to mental health issues (Violanti et al., 2012). Stigma and Support: Stigma around mental health in emergency services can prevent individuals from seeking necessary support (Haugen et al., 2017). Professions with the Lowest Rates of Depression 1. Florists Overview Florists, involved in the design and sale of floral arrangements, report lower rates of depression. The nature of their work, which often involves creativity, interaction with nature, and a positive work environment, contributes to their mental well-being. Statistics According to data from Safe Work Australia (2015), florists reported lower levels of work-related mental stress compared to other professions. The creative and less pressured environment likely plays a role in these findings. Contributing Factors Creative Expression: Engaging in creative activities has been linked to improved mental health and reduced depression (Stuckey & Nobel, 2010). Interaction with Nature: Working with plants and flowers can have calming and mood-boosting effects (Bringslimark et al., 2009). Positive Work Environment: Generally, florists work in more relaxed and pleasant environments, which contributes to lower stress levels (Safe Work Australia, 2015). 2. Librarians Overview Librarians, responsible for managing library resources and assisting patrons, also report lower rates of depression. Their work environment is typically structured, quiet, and intellectually stimulating. Statistics Research by the University of Melbourne (2016) indicates that librarians experience lower levels of job-related stress and depression compared to high-stress professions like healthcare and emergency services. Contributing Factors Structured Environment: The structured and predictable nature of library work can reduce stress (University of Melbourne, 2016). Intellectual Engagement: Engaging in intellectually stimulating tasks can improve mental health and job satisfaction (Morrison & Riccucci, 2009). Work-Life Balance: Librarians often enjoy better work-life balance, contributing to lower rates of depression (University of Melbourne, 2016). Conclusion Healthcare workers and emergency services personnel in Australia exhibit some of the highest rates of depression due to the demanding, high-stress, and often traumatic nature of their work. In contrast, professions like floristry and librarianship report lower rates of depression, likely due to positive work environments, creative tasks, and better work-life balance. Understanding these occupational differences can inform targeted mental health interventions and support systems to improve the well-being of workers in high-risk professions. References Beyond Blue. (2013). National Mental Health Survey of Doctors and Medical Students. Retrieved from https://www.beyondblue.org.au/ Beyond Blue. (2018). Answering the Call: National Survey of Mental Health and Wellbeing of Police and Emergency Services. Retrieved from https://www.beyondblue.org.au/ Bringslimark, T., Hartig, T., & Patil, G. G. (2009). The psychological benefits of indoor plants: A critical review of the experimental literature. Journal of Environmental Psychology, 29(4), 422-433. Haugen, P. T., Evces, M., & Weiss, D. S. (2017). Treating posttraumatic stress disorder in first responders: A systematic review. Clinical Psychology Review, 51, 16-24. Mealer, M., Burnham, E. L., Goode, C. J., Rothbaum, B., & Moss, M. (2009). The prevalence and impact of post-traumatic stress disorder and burnout syndrome in nurses. Depression and Anxiety, 26(12), 1118-1126. Morrison, E. W., & Riccucci, N. M. (2009). The role of gender in workplace stress: A public sector perspective. Journal of Women in Culture and Society, 34(2), 289-311. Regehr, C., Goldberg, G., & Hughes, J. (2003). Exposure to human tragedy, empathy, and trauma in ambulance paramedics. American Journal of Orthopsychiatry, 72(4), 505-513. Safe Work Australia. (2015). Work-related mental disorders profile. Retrieved from https://www.safeworkaustralia.gov.au/ Schernhammer, E. S. (2005). Taking their own lives—The high rate of physician suicide. New England Journal of Medicine, 352(24), 2473-2476. Shanafelt, T. D., Boone, S., Tan, L., Dyrbye, L. N., Sotile, W., Satele, D., … & West, C. P. (2015). Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Archives of Internal Medicine, 172(18), 1377-1385. Stuckey, H. L., & Nobel, J. (2010). The connection between art, healing, and public health: A review of current literature. American

Written by: Therapy Near Me Editorial Team Clinically reviewed by: qualified members of the Therapy Near Me clinical team Last updated: 08/12/2025 This article is intended as general information only and does not replace personalised medical or mental health advice. Learn more about our Editorial Policy. A strong support network is crucial for maintaining mental health, achieving personal and professional goals, and navigating life’s challenges. This article explores the importance of a support network, strategies for building one, and the psychological benefits, supported by scientific research and expert insights. The Importance of a Support Network Mental Health Benefits A robust support network provides emotional support, reduces stress, and enhances overall well-being. Research indicates that social support can buffer against mental health issues such as depression and anxiety (Cohen & Wills, 1985). Personal Growth Support networks offer opportunities for personal growth and self-improvement. They provide feedback, encouragement, and diverse perspectives that can help individuals develop new skills and achieve their goals (Reis & Gable, 2003). Professional Development In a professional context, a strong support network can lead to career advancement by providing mentorship, advice, and networking opportunities. Colleagues, mentors, and professional associations play a crucial role in career development (Allen et al., 2004). Strategies for Building a Support Network 1. Identify Your Needs Understanding your needs is the first step in building a support network. Consider what kind of support you require—emotional, informational, or practical—and identify areas of your life where support is lacking. Actionable Tip: Reflect on your current challenges and goals. Make a list of areas where you need support and the type of help you seek. 2. Leverage Existing Connections Start by strengthening relationships with existing connections, such as family, friends, and colleagues. These individuals already know you and may be willing to offer support. Actionable Tip: Reach out to friends or family members you haven’t connected with in a while. Schedule regular catch-ups to maintain these relationships. 3. Expand Your Social Circle Expanding your social circle involves meeting new people and forming new relationships. Join clubs, organisations, or community groups that align with your interests and values. Actionable Tip: Participate in local events, volunteer, or join online communities related to your interests. 4. Seek Professional Networks In a professional context, seek out networks that can provide career-related support. Join professional associations, attend industry conferences, and engage in networking events. Actionable Tip: Use LinkedIn to connect with professionals in your field and participate in relevant groups and discussions. 5. Be Proactive and Approachable Building a support network requires proactive effort and approachability. Be open to meeting new people, show genuine interest in others, and offer support in return. Actionable Tip: Practice active listening and empathy in your interactions. Show appreciation for the support you receive and be willing to reciprocate. 6. Maintain and Nurture Relationships Building a support network is not a one-time effort; it requires ongoing maintenance and nurturing. Regularly check in with your network, offer help, and express gratitude. Actionable Tip: Set reminders to follow up with your network periodically. Send messages, schedule meetings, and express appreciation for their support. Psychological Benefits of a Strong Support Network Stress Reduction Social support can mitigate the effects of stress by providing emotional comfort and practical assistance. Studies have shown that individuals with strong support networks experience lower levels of stress and better coping mechanisms (Taylor, 2011). Improved Mental Health A supportive network is linked to better mental health outcomes. Social support can reduce the risk of mental health disorders and promote recovery by enhancing feelings of belonging and self-worth (House et al., 1988). Increased Resilience Having a strong support network enhances resilience, allowing individuals to bounce back from setbacks more effectively. Supportive relationships provide encouragement and resources that help individuals navigate difficult times (Rutter, 1987). Enhanced Life Satisfaction Overall life satisfaction is significantly higher among individuals with strong support networks. These networks provide a sense of community, purpose, and connectedness that contribute to overall happiness and fulfilment (Diener & Seligman, 2002). Conclusion Building a strong support network is essential for mental health, personal growth, and professional development. By identifying your needs, leveraging existing connections, expanding your social circle, seeking professional networks, being proactive and approachable, and maintaining relationships, you can create a robust support system. The psychological benefits of a strong support network, including stress reduction, improved mental health, increased resilience, and enhanced life satisfaction, highlight the importance of investing in these relationships. References Allen, T. D., Eby, L. T., Poteet, M. L., Lentz, E., & Lima, L. (2004). Career benefits associated with mentoring for protégés: A meta-analysis. Journal of Applied Psychology, 89(1), 127-136. Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357. Diener, E., & Seligman, M. E. P. (2002). Very happy people. Psychological Science, 13(1), 81-84. House, J. S., Landis, K. R., & Umberson, D. (1988). Social relationships and health. Science, 241(4865), 540-545. Reis, H. T., & Gable, S. L. (2003). Toward a positive psychology of relationships. Flourishing: Positive Psychology and the Life Well-Lived, 129-159. Rutter, M. (1987). Psychosocial resilience and protective mechanisms. American Journal of Orthopsychiatry, 57(3), 316-331. Taylor, S. E. (2011). Social support: A review. In M. S. Friedman (Ed.), The Handbook of Health Psychology (pp. 189-214). Oxford University Press. How to get in touch If you or your patient/NDIS clients need immediate mental healthcare assistance, feel free to get in contact with us on 1800 NEAR ME – admin@therapynearme.com.au

Written by: Therapy Near Me Editorial Team Clinically reviewed by: qualified members of the Therapy Near Me clinical team Last updated: 09/01/2026 This article is intended as general information only and does not replace personalised medical or mental health advice. Learn more about our Editorial Policy. Panic attacks are sudden episodes of intense fear and discomfort that can manifest with physical and psychological symptoms. They are a common mental health concern, affecting millions of people worldwide. This article explores the nature of panic attacks, their causes, symptoms, and treatment options, supported by scientific research and expert insights. What are Panic Attacks? Panic attacks are abrupt surges of intense fear or discomfort that peak within minutes. They can occur unexpectedly or in response to a trigger and are characterised by a combination of physical and cognitive symptoms (American Psychiatric Association, 2013). Symptoms of Panic Attacks The symptoms of a panic attack can vary, but they typically include: Rapid heart rate or palpitations Sweating Trembling or shaking Shortness of breath or a feeling of being smothered Chest pain or discomfort Nausea or abdominal distress Dizziness, light-headedness, or faintness Chills or hot flashes Numbness or tingling sensations Feelings of unreality (derealisation) or detachment from oneself (depersonalisation) Fear of losing control or “going crazy” Fear of dying (American Psychiatric Association, 2013) Causes and Risk Factors Biological Factors Research indicates that biological factors, such as genetics and neurochemical imbalances, play a significant role in the development of panic attacks. Studies have shown that individuals with a family history of panic disorder are at higher risk of experiencing panic attacks (Smoller et al., 2003). Psychological Factors Psychological factors, including stress, anxiety, and trauma, can trigger panic attacks. Cognitive-behavioural theories suggest that maladaptive thought patterns and a heightened sensitivity to bodily sensations can contribute to the onset of panic attacks (Barlow, 2002). Environmental Factors Environmental factors, such as significant life changes, chronic stress, and exposure to traumatic events, can increase the likelihood of panic attacks. Additionally, substance use, including caffeine, alcohol, and certain drugs, can provoke or exacerbate panic attacks (Schmidt et al., 2010). Diagnosis and Treatment Diagnosis Panic attacks are typically diagnosed based on clinical criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). A healthcare provider will assess the frequency, intensity, and impact of the attacks, as well as any co-occurring mental health conditions, to determine an appropriate diagnosis (American Psychiatric Association, 2013). Treatment Options Cognitive-Behavioural Therapy (CBT) Cognitive-behavioural therapy is considered one of the most effective treatments for panic attacks. CBT focuses on identifying and challenging maladaptive thought patterns and behaviours, as well as developing coping strategies to manage anxiety and panic symptoms (Hofmann et al., 2012). Medications Medications, such as selective serotonin reuptake inhibitors (SSRIs), benzodiazepines, and beta-blockers, can be prescribed to help manage the symptoms of panic attacks. These medications can reduce the frequency and severity of attacks, but they are often used in conjunction with therapy for the best outcomes (Roy-Byrne et al., 2013). Lifestyle Modifications Lifestyle modifications, including regular physical exercise, healthy eating, adequate sleep, and stress management techniques (e.g., mindfulness, yoga, and deep breathing exercises), can help reduce the occurrence of panic attacks and improve overall well-being (Asmundson et al., 2013). Coping Strategies Breathing Exercises Practising controlled breathing exercises can help manage the physical symptoms of panic attacks. Techniques such as diaphragmatic breathing and the 4-7-8 method can promote relaxation and reduce anxiety (Jerath et al., 2015). Mindfulness and Relaxation Techniques Mindfulness and relaxation techniques, such as progressive muscle relaxation and guided imagery, can help individuals stay grounded and manage the psychological symptoms of panic attacks. These techniques encourage present-moment awareness and reduce the impact of negative thoughts (Kabat-Zinn, 2003). Support Networks Building a strong support network of friends, family, and mental health professionals can provide emotional support and practical assistance. Support groups, either in-person or online, can also offer a sense of community and shared understanding (Carter et al., 2014). Conclusion Panic attacks are a common but manageable mental health issue. Understanding the causes, symptoms, and treatment options can empower individuals to seek appropriate help and develop effective coping strategies. With the right support and interventions, those experiencing panic attacks can lead fulfilling and balanced lives. References American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington, DC: Author. Asmundson, G. J., Fetzner, M. G., DeBoer, L. B., Powers, M. B., Otto, M. W., & Smits, J. A. (2013). Let’s get physical: A contemporary review of the anxiolytic effects of exercise for anxiety and its disorders. Depression and Anxiety, 30(4), 362-373. Barlow, D. H. (2002). Anxiety and Its Disorders: The Nature and Treatment of Anxiety and Panic (2nd ed.). Guilford Press. Carter, M. M., Sbrocco, T., & Carter, C. L. (2014). African Americans and anxiety disorders research: Development of a testable theoretical framework. Psychological Bulletin, 140(4), 1038-1074. Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440. Jerath, R., Crawford, M. W., Barnes, V. A., & Harden, K. (2015). Self-regulation of breathing as a primary treatment for anxiety. Applied Psychophysiology and Biofeedback, 40(2), 107-115. Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144-156. Roy-Byrne, P. P., Craske, M. G., & Stein, M. B. (2013). Panic disorder. The Lancet, 388(10061), 1023-1032. Schmidt, N. B., Zvolensky, M. J., & Maner, J. K. (2010). Anxiety sensitivity: Prospective prediction of panic attacks and Axis I pathology. Journal of Psychiatric Research, 44(10), 1272-1274. Smoller, J. W., Pollack, M. H., Otto, M. W., Rosenbaum, J. F., Kradin, R., & Laird, N. M. (2003). Panic anxiety, tobacco smoking, and caffeine use: A controlled study of panic disorder patients. Psychological Medicine, 33(5), 943-946. How to get in touch If you or your patient/NDIS clients need immediate mental healthcare assistance, feel free to get in contact with us on 1800 NEAR ME – admin@therapynearme.com.au.

Written by: Therapy Near Me Editorial Team Clinically reviewed by: qualified members of the Therapy Near Me clinical team Last updated: 01/12/2025 This article is intended as general information only and does not replace personalised medical or mental health advice. Learn more about our Editorial Policy. Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that affects how individuals perceive and interact with the world. While it is often diagnosed in childhood, many adults may live with undiagnosed autism, experiencing difficulties in social interaction, communication, and behavioural flexibility without understanding the root cause. This article explores the signs of undiagnosed autism in adults, the potential impact of late diagnosis, and steps to seek a formal diagnosis, supported by scientific research and expert insights. Understanding Autism Spectrum Disorder (ASD) What is Autism? Autism Spectrum Disorder is characterised by persistent deficits in social communication and social interaction, along with restricted, repetitive patterns of behaviour, interests, or activities. The term “spectrum” reflects the wide range of symptoms and severity that individuals with autism can experience (American Psychiatric Association, 2013). Prevalence ASD affects approximately 1 in 70 people in Australia, with a significant number of cases going undiagnosed, especially in adults (Australian Bureau of Statistics, 2019). Signs of Undiagnosed Autism in Adults Social Interaction Difficulties Adults with undiagnosed autism may experience challenges in social situations. Common signs include: Difficulty Understanding Social Cues: Struggling to interpret body language, facial expressions, and tone of voice (Baron-Cohen et al., 1997). Challenges in Forming and Maintaining Relationships: Finding it hard to initiate and sustain friendships or romantic relationships (Lai et al., 2015). Preference for Solitude: Feeling more comfortable when alone or engaging in solitary activities (Wing, 1992). Communication Issues Communication difficulties are a hallmark of autism. Adults with undiagnosed autism might exhibit: Literal Interpretation of Language: Taking figurative language, idioms, and sarcasm literally (Happé, 1995). Monotone or Unusual Speech Patterns: Speaking in a flat tone or with atypical rhythm and intonation (Baron-Cohen, 2000). Difficulty in Conversation: Struggling with back-and-forth conversation and interrupting others frequently (Tager-Flusberg & Joseph, 2003). Repetitive Behaviours and Restricted Interests Many adults with autism engage in repetitive behaviours and have highly focused interests: Ritualistic Behaviour: Relying on routines and rituals to manage daily life (Leekam et al., 2007). Intense Focus on Specific Topics: Developing deep, narrow interests in particular subjects (Attwood, 2007). Sensory Sensitivities: Being highly sensitive to sensory stimuli such as lights, sounds, textures, or smells (Ben-Sasson et al., 2009). Impact of Late Diagnosis Psychological and Emotional Effects Living with undiagnosed autism can lead to various psychological and emotional challenges: Mental Health Issues: Higher rates of anxiety, depression, and other mental health conditions due to misunderstanding and unmet needs (Lever & Geurts, 2016). Low Self-Esteem: Struggling with self-identity and feeling different from others without understanding why (Muller et al., 2008). Social and Occupational Impact Undiagnosed autism can also affect social and professional life: Social Isolation: Difficulties in social interaction can lead to feelings of loneliness and isolation (Howlin, 2000). Employment Challenges: Struggling with workplace dynamics, communication, and adapting to change can hinder career progression (Hurlbutt & Chalmers, 2004). Seeking a Diagnosis Steps to Take If you suspect you might have undiagnosed autism, consider the following steps: Self-Reflection and Research: Reflect on your experiences and read about ASD to see if the symptoms resonate with you. Online Self-Assessments: Tools like the Autism Spectrum Quotient (AQ) can provide initial insights but should not replace a professional evaluation (Baron-Cohen et al., 2001). Consult Your GP: Discuss your concerns with your general practitioner, who can refer you to a specialist. Professional Evaluation A formal diagnosis involves a comprehensive evaluation by a qualified healthcare professional, such as a psychologist or psychiatrist. The assessment may include: Developmental History: Gathering detailed information about your developmental milestones and behaviour. Behavioural Observations: Observing your interactions and behaviours. Standardised Assessments: Using diagnostic tools like the Autism Diagnostic Observation Schedule (ADOS) and the Autism Diagnostic Interview-Revised (ADI-R) (Lord et al., 2000). Benefits of Diagnosis Understanding and Validation A formal diagnosis can provide clarity and validation for your experiences, helping you understand yourself better and explain past challenges (Hurlbutt & Chalmers, 2002). Access to Support and Resources Diagnosis opens the door to various supports and resources, including: Therapeutic Interventions: Access to therapies that can help manage symptoms and improve quality of life (Lord et al., 2018). Support Groups: Connecting with others who share similar experiences can provide valuable emotional support and practical advice (Attwood, 2007). Conclusion Recognising the signs of undiagnosed autism in adulthood is the first step towards seeking a formal diagnosis and accessing the support you need. If you suspect you might have autism, consider self-reflection, consulting a healthcare professional, and undergoing a comprehensive evaluation. Understanding and addressing autism can significantly enhance your well-being and quality of life. References American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. Attwood, T. (2007). The Complete Guide to Asperger’s Syndrome. Jessica Kingsley Publishers. Australian Bureau of Statistics. (2019). Autism in Australia. Retrieved from https://www.abs.gov.au/ Baron-Cohen, S. (2000). Theory of mind and autism: A review. International Review of Research in Mental Retardation, 23, 169-184. Baron-Cohen, S., Leslie, A. M., & Frith, U. (1997). Does the autistic child have a “theory of mind? Cognition, 21(1), 37-46. Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The Autism-Spectrum Quotient (AQ): Evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31(1), 5-17. Ben-Sasson, A., Hen, L., Fluss, R., Cermak, S. A., Engel-Yeger, B., & Gal, E. (2009). A meta-analysis of sensory modulation symptoms in individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(1), 1-11. Happé, F. (1995). The role of age and verbal ability in the theory of mind task performance of subjects with autism. Child Development, 66(3), 843-855. Howlin, P. (2000). Outcome in adult life for more able individuals with autism or Asperger syndrome. Autism, 4(1), 63-83. Hurlbutt, K., & Chalmers, L. (2002). Adults with autism speak

Written by: Therapy Near Me Editorial Team Clinically reviewed by: qualified members of the Therapy Near Me clinical team Last updated: 07/02/2026 This article is intended as general information only and does not replace personalised medical or mental health advice. Learn more about our Editorial Policy. Gaslighting is a form of psychological manipulation where the perpetrator seeks to make the victim doubt their own perceptions, memories, and reality. This insidious behaviour can have severe consequences for the victim’s mental health. This article explores how to identify gaslighting and its impact on mental health, supported by scientific research and expert insights. Understanding Gaslighting Definition Gaslighting is a covert form of emotional abuse where the abuser intentionally twists information, denies facts, and misleads the victim, ultimately causing them to question their reality (Stern, 2007). Origins of the Term The term “gaslighting” originates from the 1938 play “Gas Light” and its subsequent film adaptations, where a husband manipulates his wife into thinking she is losing her sanity by dimming the gas lights and denying the changes. How to Spot Gaslighting Common Gaslighting Tactics Denial of Truth: The gaslighter denies events or statements that the victim knows occurred, causing confusion and self-doubt (Dorpat, 1994). Trivialising Emotions: The gaslighter dismisses the victim’s feelings as overly sensitive or irrational (Abramson, 2014). Withholding Information: The gaslighter refuses to engage in conversations or withholds crucial information, making the victim feel isolated (Stern, 2007). Countering Memories: The gaslighter questions the accuracy of the victim’s memories, leading them to doubt their recollection of events (Sweet, 2019). Blocking and Diverting: The gaslighter changes the subject or questions the victim’s thoughts, furthering confusion (Sarkis, 2017). Signs You Might Be Experiencing Gaslighting Constant Self-Doubt: Frequently second-guessing yourself and your perceptions. Feeling Confused and Powerless: Experiencing chronic confusion and feeling unable to make decisions. Apologising Excessively: Often apologising, even when not at fault. Defending the Abuser: Rationalising or defending the gaslighter’s behaviour to others (Stark, 2019). Isolation from Others: Feeling isolated from friends and family because of the gaslighter’s manipulation (Stern, 2007). Impact of Gaslighting on Mental Health Psychological Effects Gaslighting can have profound psychological effects, including: Anxiety and Depression: Constant self-doubt and confusion can lead to chronic anxiety and depression (Sweet, 2019). Low Self-Esteem: Victims often feel worthless and inadequate due to the ongoing emotional abuse (Stark, 2019). PTSD: Prolonged gaslighting can result in post-traumatic stress disorder, characterised by severe anxiety, flashbacks, and nightmares (Dorpat, 1994). Cognitive Effects Memory Issues: Victims may experience memory problems due to constant questioning of their reality (Sarkis, 2017). Decision-Making Difficulties: The constant self-doubt impairs the victim’s ability to make decisions confidently (Abramson, 2014). Behavioural Effects Social Withdrawal: Victims may isolate themselves from social interactions to avoid further manipulation (Stern, 2007). Increased Dependence on the Abuser: Victims may become more dependent on the gaslighter for validation, further entrenching the cycle of abuse (Sweet, 2019). How to Cope with Gaslighting Recognise the Signs The first step in coping with gaslighting is recognising the signs. Understanding that you are being manipulated is crucial for taking steps to protect yourself. Seek Support Talk to Trusted Friends or Family: Sharing your experiences with trusted individuals can provide validation and perspective. Professional Help: Consulting a mental health professional can help you process your experiences and develop strategies to cope with the abuse (Stark, 2019). Document Your Experiences Keeping a journal of events and conversations can help you maintain a sense of reality and provide evidence of the gaslighting behaviour. Set Boundaries Establishing and maintaining clear boundaries with the gaslighter can help protect your mental health. This may involve limiting interactions or cutting off contact if necessary. Focus on Self-Care Engaging in self-care activities such as exercise, meditation, and hobbies can help rebuild your self-esteem and improve your mental well-being (Abramson, 2014). Conclusion Gaslighting is a serious form of psychological manipulation that can have devastating effects on mental health. Recognising the signs and understanding the impact of gaslighting is crucial for protecting oneself from this form of abuse. By seeking support, documenting experiences, setting boundaries, and focusing on self-care, victims can begin to recover and rebuild their lives. References Abramson, K. (2014). Turning up the lights on gaslighting. Philosophical Perspectives, 28(1), 1-30. Dorpat, T. L. (1994). Gaslighting, the double whammy, interrogation, and other methods of covert control in psychotherapy and analysis. International Forum of Psychoanalysis, 3(3), 129-138. Sarkis, S. (2017). Gaslighting: Recognize Manipulative and Emotionally Abusive People—and Break Free. Da Capo Press. Schulz, R., & Sherwood, P. R. (2008). Physical and mental health effects of family caregiving. American Journal of Nursing, 108(9 Suppl), 23-27. Stark, E. (2019). Coercive Control: How Men Entrap Women in Personal Life. Oxford University Press. Stern, R. (2007). The Gaslight Effect: How to Spot and Survive the Hidden Manipulation Others Use to Control Your Life. Morgan Road Books. Sweet, L. (2019). How to spot gaslighting and what to do about it. Psychology Today. Retrieved from https://www.psychologytoday.com/intl/blog/when-kids-call-the-shots/201902/how-spot-gaslighting-and-what-do-about-it How to get in touch If you or your patient/NDIS clients need immediate mental healthcare assistance, feel free to get in contact with us on 1800 NEAR ME – admin@therapynearme.com.au

Written by: Therapy Near Me Editorial Team Clinically reviewed by: qualified members of the Therapy Near Me clinical team Last updated: 19/01/2026 This article is intended as general information only and does not replace personalised medical or mental health advice. Learn more about our Editorial Policy. Chronic stress is a persistent and prolonged state of stress that can severely impact an individual’s physical and mental health. Unlike acute stress, which is short-term and often related to specific events, chronic stress is ongoing and can result from various factors such as work, relationships, or financial difficulties. This article explores the causes, effects, and management strategies for chronic stress, supported by scientific research and expert insights. Understanding Chronic Stress Definition Chronic stress refers to a continuous state of stress experienced over an extended period. It is characterised by the ongoing activation of the body’s stress response, which can lead to a variety of health issues if not managed properly (American Psychological Association, 2018). Causes of Chronic Stress Chronic stress can be caused by numerous factors, including: Work-Related Stress: High workloads, long hours, job insecurity, and workplace conflicts are common sources of chronic stress (Smith, 2002). Financial Strain: Persistent financial difficulties, such as debt or poverty, can create long-term stress (Marmot, 2004). Relationship Issues: Chronic conflicts in personal relationships, including marriage or family problems, contribute significantly to stress (Cacioppo et al., 2000). Health Problems: Living with a chronic illness or disability can be a constant source of stress (Miller & Blackwell, 2006). Environmental Stressors: Living in high-crime areas, poor living conditions, or ongoing exposure to noise or pollution can contribute to chronic stress (Evans & Kim, 2010). Effects of Chronic Stress Physical Health Impacts Chronic stress has significant impacts on physical health, including: Cardiovascular Problems: Increased risk of hypertension, heart attacks, and stroke due to prolonged stress (Rozanski et al., 1999). Immune System Suppression: Chronic stress can weaken the immune system, making individuals more susceptible to infections and illnesses (Glaser & Kiecolt-Glaser, 2005). Gastrointestinal Issues: Stress can cause or exacerbate conditions like irritable bowel syndrome (IBS) and ulcers (Mayer, 2000). Endocrine Disruptions: Prolonged stress leads to elevated cortisol levels, which can disrupt various bodily functions (Sapolsky, 2004). Mental Health Impacts Chronic stress also affects mental health, contributing to: Depression: Persistent stress can lead to feelings of hopelessness and depression (Hammen, 2005). Anxiety: Ongoing stress can cause chronic anxiety and panic disorders (Chrousos, 2009). Cognitive Impairment: Stress can impair memory, concentration, and decision-making abilities (Lupien et al., 2009). Behavioural Changes Individuals experiencing chronic stress may also exhibit behavioural changes, such as: Substance Abuse: Increased use of alcohol, tobacco, or drugs as a coping mechanism (Sinha, 2008). Sleep Disturbances: Difficulty falling asleep, staying asleep, or experiencing restful sleep (Meerlo et al., 2008). Changes in Appetite: Overeating or loss of appetite leading to weight gain or loss (Dallman et al., 2003). Managing Chronic Stress Psychological Strategies Several psychological strategies can help manage chronic stress effectively: Cognitive-Behavioural Therapy (CBT) CBT is a highly effective treatment for chronic stress. It involves identifying and challenging negative thought patterns and behaviours, helping individuals develop healthier ways of thinking and coping (Hofmann et al., 2012). Mindfulness and Meditation Practicing mindfulness and meditation can reduce stress by promoting relaxation and helping individuals stay present in the moment. These practices can lower cortisol levels and improve overall well-being (Kabat-Zinn, 2003). Lifestyle Modifications Adopting healthy lifestyle changes can significantly reduce the impact of chronic stress: Regular Exercise Physical activity is a powerful stress reliever. Regular exercise can reduce levels of the body’s stress hormones, such as adrenaline and cortisol, and stimulate the production of endorphins, chemicals in the brain that are natural painkillers and mood elevators (Salmon, 2001). Balanced Diet Eating a healthy, balanced diet can improve overall health and reduce the effects of stress. Foods rich in omega-3 fatty acids, antioxidants, and fibre can help stabilise mood and energy levels (Kiecolt-Glaser et al., 2015). Adequate Sleep Ensuring adequate sleep is crucial for managing stress. Poor sleep can exacerbate stress, while good sleep can improve mood, energy levels, and overall health (Irwin, 2015). Social Support Building a strong support network is essential for managing chronic stress. Friends, family, and support groups can provide emotional support, practical help, and a sense of belonging, all of which can buffer against the effects of stress (Cohen & Wills, 1985). Professional Help In some cases, seeking professional help is necessary to manage chronic stress. Therapists, counsellors, and healthcare providers can offer treatments and interventions tailored to individual needs, including medication, therapy, and stress management programs. Conclusion Chronic stress is a pervasive issue that can have severe impacts on physical, mental, and emotional health. Understanding its causes, effects, and management strategies is crucial for mitigating its negative impacts. By adopting psychological strategies, making lifestyle modifications, seeking social support, and utilising professional help, individuals can effectively manage chronic stress and improve their quality of life. References American Psychological Association. (2018). Stress in America: The state of our nation. Retrieved from https://www.apa.org/news/press/releases/stress/2017/state-nation.pdf Cacioppo, J. T., Hawkley, L. C., & Berntson, G. G. (2000). The anatomy of loneliness. Current Directions in Psychological Science, 12(3), 71-74. Chrousos, G. P. (2009). Stress and disorders of the stress system. Nature Reviews Endocrinology, 5(7), 374-381. Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357. Dallman, M. F., Pecoraro, N. C., & la Fleur, S. E. (2003). Chronic stress and comfort foods: self-medication and abdominal obesity. Brain, Behavior, and Immunity, 17(4), 275-280. Evans, G. W., & Kim, P. (2010). Multiple risk exposure as a potential explanatory mechanism for the socioeconomic status–health gradient. Annals of the New York Academy of Sciences, 1186(1), 174-189. Glaser, R., & Kiecolt-Glaser, J. K. (2005). Stress-induced immune dysfunction: implications for health. Nature Reviews Immunology, 5(3), 243-251. Hammen, C. (2005). Stress and depression. Annual Review of Clinical Psychology, 1, 293-319. Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of

Written by: Therapy Near Me Editorial Team Clinically reviewed by: qualified members of the Therapy Near Me clinical team Last updated: 09/11/2025 This article is intended as general information only and does not replace personalised medical or mental health advice. Learn more about our Editorial Policy. Ozempic (semaglutide) is a medication primarily used to treat type 2 diabetes and promote weight loss by mimicking the hormone GLP-1 (glucagon-like peptide-1), which increases insulin secretion and reduces appetite. However, recent studies have suggested that Ozempic may affect stomach function, subsequently influencing serotonin production, and potentially leading to suicidal tendencies. This article explores these findings, supported by scientific research and expert insights. Understanding Ozempic and Its Mechanism Mechanism of Action Ozempic works by activating GLP-1 receptors, which play a crucial role in glucose metabolism. This activation stimulates insulin secretion, inhibits glucagon release, and slows gastric emptying, leading to a prolonged feeling of fullness and reduced food intake (Drucker, 2018). Effects on Stomach Function Gastric Emptying One of the significant effects of Ozempic is the delay in gastric emptying. By slowing the rate at which food leaves the stomach, Ozempic helps control postprandial blood sugar levels and supports weight loss efforts (Meier, 2012). However, this alteration in stomach function can have broader implications for gastrointestinal health and nutrient absorption. Gut-Brain Axis The gut-brain axis refers to the bidirectional communication between the gastrointestinal tract and the central nervous system. The gut microbiota and gut hormones, including serotonin, play essential roles in this interaction. Changes in gastric function can impact the production and release of these hormones, affecting mood and mental health (Cryan & Dinan, 2012). Serotonin Production and Mental Health Serotonin’s Role Serotonin is a neurotransmitter predominantly produced in the gastrointestinal tract, with about 90% of the body’s serotonin synthesized in the gut (Gershon & Tack, 2007). It is crucial for regulating mood, appetite, and digestion. Imbalances in serotonin levels have been linked to various mental health conditions, including depression and anxiety (Young, 2007). Impact of Altered Gastric Function on Serotonin The delayed gastric emptying caused by Ozempic can potentially affect the production and release of serotonin in the gut. Disruptions in serotonin production can influence mood regulation and have been associated with increased risks of mental health issues (Reigstad et al., 2015). Potential Link to Suicidal Tendencies Recent Studies Recent studies have raised concerns about the potential link between GLP-1 receptor agonists, like Ozempic, and mental health. Research has suggested that changes in gut function and subsequent alterations in serotonin levels may contribute to mood disorders and suicidal tendencies (Beyer & Cremers, 2020). Study Findings Case Reports and Clinical Observations: Some case reports and clinical observations have noted the emergence of suicidal thoughts and behaviours in patients treated with GLP-1 receptor agonists. However, these findings are not yet conclusive and require further investigation (Harris et al., 2021). Animal Studies: Preclinical studies on rodents have shown that altering serotonin levels in the gut can affect behaviour, including increased anxiety and depressive-like symptoms (Yano et al., 2015). Need for Further Research While there is growing evidence suggesting a potential link between Ozempic, altered serotonin production, and suicidal tendencies, more comprehensive clinical studies are needed to establish a clear causal relationship. Researchers advocate for more detailed investigations to understand the mechanisms underlying these observations and to develop strategies to mitigate potential risks (Beyer & Cremers, 2020). Recommendations for Patients and Healthcare Providers Monitoring and Communication Patients using Ozempic should be closely monitored for any changes in mood or mental health. Healthcare providers should maintain open communication with patients, encouraging them to report any psychological symptoms promptly (Harris et al., 2021). Individualised Treatment Healthcare providers should consider the individual risk factors of each patient when prescribing Ozempic. A thorough assessment of the patient’s mental health history and current psychological state is essential to ensure safe and effective treatment (Drucker, 2018). Alternative Therapies For patients with a history of mental health issues or those experiencing adverse psychological effects, alternative diabetes and weight management therapies should be considered. These alternatives may provide similar benefits without the potential risks associated with altered serotonin production (Meier, 2012). Conclusion Recent studies suggest a potential link between Ozempic’s effects on stomach function, serotonin production, and suicidal tendencies. While the evidence is still emerging, these findings underscore the importance of monitoring mental health in patients using GLP-1 receptor agonists. Ongoing research is crucial to fully understand the implications and to develop guidelines for safer use. Healthcare providers must remain vigilant and proactive in addressing any psychological symptoms in their patients. References Beyer, P. L., & Cremers, H. (2020). Potential adverse effects of GLP-1 receptor agonists on mental health. Journal of Diabetes Research, 2020, 5638692. Cryan, J. F., & Dinan, T. G. (2012). Mind-altering microorganisms: the impact of the gut microbiota on brain and behaviour. Nature Reviews Neuroscience, 13(10), 701-712. Drucker, D. J. (2018). Mechanisms of action and therapeutic application of glucagon-like peptide-1. Cell Metabolism, 27(4), 740-751. Gershon, M. D., & Tack, J. (2007). The serotonin signalling system: from basic understanding to drug development for functional GI disorders. Gastroenterology, 132(1), 397-414. Harris, C., Huberty, S., & Dearing, K. (2021). Case reports of suicidal ideation associated with GLP-1 receptor agonist therapy. Diabetes Care, 44(8), e151-e152. Meier, J. J. (2012). GLP-1 receptor agonists for individualized treatment of type 2 diabetes mellitus. Nature Reviews Endocrinology, 8(12), 728-742. Reigstad, C. S., Salmonson, C. E., Rainey 3rd, J. F., Szurszewski, J. H., Linden, D. R., Sonnenburg, J. L., & Farrugia, G. (2015). Gut microbes promote colonic serotonin production through an effect of short-chain fatty acids on enterochromaffin cells. The FASEB Journal, 29(4), 1395-1403. Yano, J. M., Yu, K., Donaldson, G. P., Shastri, G. G., Ann, P., Ma, L., … & Hsiao, E. Y. (2015). Indigenous bacteria from the gut microbiota regulate host serotonin biosynthesis. Cell, 161(2), 264-276. Young, S. N. (2007). How to increase serotonin in the human brain without drugs. Journal of Psychiatry & Neuroscience, 32(6), 394-399. How to get in touch If you or your patient/NDIS clients need

Written by: Therapy Near Me Editorial Team Clinically reviewed by: qualified members of the Therapy Near Me clinical team Last updated: 10/07/2025 This article is intended as general information only and does not replace personalised medical or mental health advice. Learn more about our Editorial Policy. The term “Karen” has become a popular slang to describe someone—typically a middle-aged woman—who is perceived as entitled, demanding, and often exhibiting privileged and prejudiced behaviour. While the term can be controversial and potentially offensive, it raises important questions about self-awareness and social behaviour. This article explores how to identify such behaviour, provides a psychologist’s test for self-assessment, and offers advice on how to address and change these tendencies, supported by scientific research and expert insights. Understanding the “Karen” Phenomenon Definition and Origins The term “Karen” gained popularity as a meme on social media, used to describe individuals who act entitled, exhibit privilege, or demand to “speak to the manager” over minor inconveniences. It often implies a lack of empathy and awareness of one’s own social privileges (Garcia, 2020). Psychological Traits Traits often associated with the “Karen” stereotype include: Entitlement: A sense of deserving special treatment or privileges (Campbell et al., 2004). Narcissism: Excessive self-focus and lack of empathy for others (Twenge & Campbell, 2009). Authoritarianism: Preference for order and control, often leading to demanding behaviour (Altemeyer, 1996). Self-Assessment: Am I a Karen? Psychologist’s Test To help determine whether you exhibit behaviours associated with the “Karen” stereotype, consider the following questions based on psychological principles of entitlement, empathy, and social behaviour. Rate each question on a scale from 1 (strongly disagree) to 5 (strongly agree): Entitlement I believe I deserve special treatment. I get frustrated when things don’t go my way. I often feel that rules don’t apply to me. Empathy I don’t consider how my actions affect others. I don’t find it easy to understand other people’s feelings. I don’t listen to and value other people’s opinions. Demanding Behaviour I frequently ask to speak to a manager or authority figure to resolve minor issues. I get irritated easily when service doesn’t meet my expectations. I often feel that others are not doing their job properly. Scoring and Interpretation Scores of 12-20: You may exhibit some “Karen” behaviours. Reflect on these tendencies and consider areas for improvement. Scores of 21-30: You exhibit moderate “Karen” behaviours. It’s important to work on empathy and understanding. Scores above 30: You exhibit strong “Karen” behaviours. Significant changes may be needed to improve your social interactions. Advice for Addressing “Karen” Behaviour Develop Self-Awareness Self-awareness is key to recognising and changing entitled or demanding behaviours. Mindfulness practices can enhance self-awareness by helping individuals observe their thoughts and actions without judgement (Kabat-Zinn, 2003). Actionable Tip: Practice mindfulness meditation regularly to increase self-awareness and reduce impulsive reactions. Cultivate Empathy Empathy involves understanding and sharing the feelings of others. Developing empathy can reduce entitled behaviours and improve social interactions (Davis, 1983). Actionable Tip: Engage in active listening, where you fully concentrate, understand, respond, and then remember what the other person has said. Reflect on Privilege Recognising one’s own social privileges can foster humility and reduce entitled behaviour. Reflect on how your background and circumstances have provided advantages that others may not have (McIntosh, 1988). Actionable Tip: Consider participating in workshops or reading materials on social justice and privilege. Practice Gratitude Gratitude can counteract feelings of entitlement by shifting focus from what you lack to what you have (Emmons & McCullough, 2003). Actionable Tip: Keep a gratitude journal where you regularly write down things you are thankful for. Seek Feedback Feedback from others can provide valuable insights into how your behaviour is perceived. Trusted friends, family, or colleagues can offer perspectives that help you adjust your actions (London, 2003). Actionable Tip: Ask for honest feedback from people you trust and be open to their suggestions for improvement. Conclusion Understanding and addressing “Karen” behaviours involves self-awareness, empathy, and a willingness to change. By reflecting on your actions, considering others’ perspectives, and practising gratitude, you can improve your social interactions and avoid the negative traits associated with this stereotype. Cultivating these qualities not only enhances personal growth but also contributes to a more empathetic and inclusive society. References Altemeyer, B. (1996). The Authoritarian Specter. Harvard University Press. Campbell, W. K., Bonacci, A. M., Shelton, J., Exline, J. J., & Bushman, B. J. (2004). Psychological entitlement: Interpersonal consequences and validation of a self-report measure. Journal of Personality Assessment, 83(1), 29-45. Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44(1), 113-126. Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84(2), 377-389. Garcia, S. E. (2020). How ‘Karen’ became a meme, and what real-life ‘Karens’ think about it. The New York Times. Retrieved from https://www.nytimes.com Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144-156. London, M. (2003). Job Feedback: Giving, Seeking, and Using Feedback for Performance Improvement. Psychology Press. McIntosh, P. (1988). White privilege: Unpacking the invisible knapsack. Race, Class, and Gender in the United States: An Integrated Study, 4, 165-169. Stern, R. (2007). The Gaslight Effect: How to Spot and Survive the Hidden Manipulation Others Use to Control Your Life. Morgan Road Books. Twenge, J. M., & Campbell, W. K. (2009). The Narcissism Epidemic: Living in the Age of Entitlement. Simon and Schuster. How to get in touch If you or your patient/NDIS clients need immediate mental healthcare assistance, feel free to get in contact with us on 1800 NEAR ME – admin@therapynearme.com.au.